AVA SMITH (PA) – Physician Assistant, NPI 1023500709

AVA SMITH (PA) is a healthcare provider. based in Bryan, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA11972 (TX). The NPI Number for AVA SMITH (PA) is 1023500709

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AVA SMITH (PA)
NPI
1023500709
Phone
(979) 776-8440
Address
2900 E 29TH ST STE 100
Enumeration Date
30 May 2018
Last Update Date
19 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9797768440
Graduation Year
2017 (9 years ago)
PAC ID
0941557193
Group Practice PAC ID
8224008644
Professional Enrollment ID
I20180719002144
Address ID
TX778022623BR2900XSTXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for AVA SMITH (PA)

  • 100, East 29th Street, Bryan, Brazos County, Texas, 77803, United States

    BRYAN, TX 778022623

    Phone: (979) 776-8440

    Fax: (877) 601-5854

    Type: Mailing

  • 10780 Westview Dr Ste C

    Houston, TX 770435038

    Phone: (713) 932-5230

    Fax: (713) 932-5239

    Type: Location

  • 9816 Memorial Blvd Ste 104

    Humble, TX 773384205

    Phone: (281) 913-3550

    Fax: (281) 319-6072

    Type: Location

  • 4850 W Bellfort St

    Houston, TX 770353413

    Phone: (713) 723-3135

    Fax: (832) 658-3240

    Type: Location

  • 1400, Bryan Avenue, Atlanta, Fulton County, Georgia, 30344, United States

    BRYAN, TX 778073208

    Phone: (979) 774-8200

    Fax: (877) 601-5854

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Alkermes, Inc. ($80).

Total Amount

$103

General + Research + Ownership

Payments

2

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180719002144IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96127Assessment of emotional or behavioral problems30848$0
99214Established patient office or other outpatient visit, 30-39 minutes11338$0
99213Established patient office or other outpatient visit, 20-29 minutes5120$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224008644View full group profile
NameSpecialtyState
Nurse PractitionerCA
Certified Nurse Midwife (Cnm)TX
Family PracticeTX
Family PracticeTX
Clinical Social WorkerTX
P S Y C H I A T R YTX
Family PracticeTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for AVA SMITH (PA)?
Save NPI 1023500709 if you need a stable reference for AVA SMITH (PA).
Is AVA SMITH (PA)'s NPI currently valid?
The extract we use shows AVA SMITH (PA) as active.
Does AVA SMITH (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for AVA SMITH (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for AVA SMITH (PA)?
The page summarizes Bryan, Texas for AVA SMITH (PA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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