Priscilla Waters Smith
NPI 1225869068ActiveIndividual· Physician Assistant· Smithfield, NC
Physician Assistant with Mainstreet and Kidsstreet of North Carolina PLLC, practicing in Smithfield, North Carolina. 25 Medicare patients in 2024, $4,300 paid; nearly all of their 88 Part D prescriptions were generic (93%).
Overview
| NPI | 1225869068 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 13, 2024 |
| Last updated in NPPES | Oct 16, 2024 |
| Certified by provider | Oct 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1221824 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 152 across 25 procedure codes |
| Paid by Medicare | $4,300 |
Part D prescriptions in 2024
| Prescriptions (claims) | 88 · 88 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $1,628 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mainstreet and Kidsstreet of North Carolina PLLCLocust, NC · 73 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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