Individual provider · Type 1 NPI

Tyler Marie Smith, PA-C

Physician Assistant · Charleston, SC

NPI number 1013772649 Active

Practice location

96 Jonathan Lucas St
Charleston, SC 29425-8900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6040 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013772649

Tyler Marie Smith, PA-C's National Provider Identifier is 1013772649, issued on Feb 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Feb 20, 2026.