Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Raymond Shane Smith, PA-C

Physician Assistant in Johnson City, TN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104006592

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Registry record

Entity type Individual (Type 1)

Name Raymond Shane Smith

Credential PA-C

Sex Male

Practice address Johnson City, TN, 37604

Phone (423) 431-2477

Fax (423) 431-2478

Enumeration date Nov 14, 2007

Last updated in NPPES Feb 23, 2017

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2338 (TN) Primary

Other identifiers

Identifier	Type	State	Issuer
1104006592	Medicaid	NC	-
Q002626	Medicaid	TN	-
1104006592	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Raymond Smith's NPI record?

Cross-check NPI 1104006592 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104006592 active?

Yes, as of the latest NPPES snapshot, NPI 1104006592 is active (record last updated 2017-02-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-23.