About Us

Like doctors, CPA firms have specialties and at Dornbush, Smith & Associates ours is medical practice accounting. We focus on supplying the accounting services, tax planning, and practice consulting doctors and dentists need to maintain a healthy practice. When you turn to us for back-office solutions, we take the time to develop a complete understanding of your practice and offer financial guidance based on what we learn. We then create a customized plan to manage cash flow, streamline bookkeeping processes, and tighten internal controls. We'll also find ways to limit tax exposure so you can reduce your taxes, keep more of your profits, and increase your wealth.

Customer satisfaction is paramount to us, and every client can count on this Apex, NC CPA firm to deliver. We promise that working with Dornbush, Smith & Associates will be cost-effective and beneficial to your medical practice. You can depend on us for sound financial advice, tax strategies that will save you money, and accurate accounting management.

Call us at 919-214-7058 today to get started or request your free consultation online now. There’s no obligation so contact us now!


Natasha Dornbush, CPA

Natasha Dornbush, CPA, is an accounting professional with 20+ years of financial and accounting experience. She understands the challenges that come with owning a business so she loves partnering with businesses and their owners through the different stages of their business growth, offering guidance to help them grow, plan for the future and improve their bottom line. She gains extensive knowledge on a consistent basis throughout the year to help her clients build and retain wealth. She offers services that ensure her clients legally spend less on taxes by developing proactive tax planning strategies, clearly laying out for them what to do, how to do it and when to do it, so that there are no surprises at tax preparation time.

Natasha graduated with a Bachelor’s Degree in accounting from the University of Florida and a Master’s in accounting from Liberty University. She has held senior, management, and executive accounting roles, providing accounting and tax services to businesses across multiple industries. Natasha’s passion is to bring that same level of expertise gained by working with larger corporations to medical professionals, small business owners and high-net worth individuals so they do not miss out on wealth building and tax savings opportunities that they may not know exist.

Natasha is a member of the reputable American Institute of Certified Public Accountants. She is a CPA who brings joy to her clients. She loves seeing the smile on your face as she helps you save money and increase your wealth. She is YOUR accounting relief!


Kate Smith CPA

Kate Smith, CPA

Kate Smith began her career working in one of the four largest international accounting firms worldwide, focusing on tax compliance, accounting, and auditing. Following that, she successfully partnered with domestic and international companies as well as publicly-held multi-national, billion dollar corporations. Opening her own firm in 2017 allowed Ms. Smith the opportunity to bring her aptitude for large, corporate financial strategizing to midsized businesses.

Her background has cultivated a strong foundation in strategic tax minimization, tax compliance, and financial reporting. Ms. Smith has directed her skills with creating unique strategies to businesses, their owners, and high net worth individuals.

Her years of training and experience give her firm’s clients the benefit of an extensive knowledge on a range of issues. She applies these every day, unearthing all opportunities for strategic tax & risk minimization and wealth-building.


Chelsea Bjorkman

Chelsea Bjorkman

Chelsea Bjorkman, MBA, has been an accounting professional for 15+ years, and is well-versed in the various challenges that businesses of all types can face. She has worked with and consulted for entrepreneurs and small businesses, assisting them with their accounting and bookkeeping needs. Chelsea holds a Master's Degree in Business with an emphasis in Accounting. She also is credentialed in Six Sigma Methodology.

Chelsea has had the opportunity to not only practice accounting, but teach accounting at the college level. She has developed accounting curriculum for various college programs and stays up-to-date with current industry best practices. She is currently a sitting Board Director for her local school district, and when given the opportunity, devotes time and volunteer hours to help local non-profits in need of accounting advice.

Chelsea is a firm believer that when the accounting is correct, businesses thrive because they have the information and tools necessary to make sound financial decisions. It is her mission to ensure timely and accurate reporting of financial information so that businesses get the most relevant data in order to assist with their daily decision making. Chelsea thoroughly enjoys working with and along side businesses to help them achieve their financial goals.