NPI age
6 years
Enumerated 2020-02-11
● Active
Type 1 · Individual
MR. Cody Charles Smith, PA
Smith is 1 of 132 physician assistant providers in Meridian and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-02Enumerated in NPPES
2020
2026
Where they practice
Practice location
3277 E Louise Dr Fl 2
Meridian, ID 836429359
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
11795 Education St Ste 220
Auburn, CA 956022469
Location 3
816 W Cannon St
Fort Worth, TX 761043146
Specialties
-
Physician Assistant PrimaryA 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...
-
Physician AssistantDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Meridian in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.