# ALEXIS DEANA SMITH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093974974
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 165095 | MT | — |
| 2086S0120X | Pediatric Surgery Physician | 79022 | GA | Yes |
| 2086S0120X | Pediatric Surgery Physician | MD15118 | RI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 11/12/2025