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Aubrey Madison Smith, PA

Physician Assistant in Sherwood, AR. Individual provider (NPI-1).

NPI number1184482739
StatusActive
Last updated in NPPESMar 8, 2024

Details

NPI
1184482739
Entity type
Individual (NPI-1)
Name
Aubrey Madison Smith
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2024
Certification date
Mar 8, 2024
Last updated
Mar 8, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Other names

  • Aubrey Madison Youngblood (Former Name)

Practice location

1816 Bobbitt Ln
Sherwood, AR 72120-9544

Phone 870-648-5376

Mailing address

1816 Bobbitt Ln
Sherwood, AR 72120-9544

Phone 870-648-5376

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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