Individual provider Active NPI

Natacha Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1003298035
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9402723 Issued in FL
Practice address
4864 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-3704
Phone
(770) 676-5763
Fax
(770) 676-5723
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9402723 FL Primary

Addresses

Primary practice location

4864 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-3704

Mailing address

4864 Jimmy Carter Blvd Ste 205
Norcross, GA 30093-3704
Phone (770) 676-5763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730000442 GA Practitioner - Nurse Practitioner 6800143496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Behavioral HealthGroup PAC ID 8921490442, 5 clinicians

Practice addresses (Care Compare)

4864 Jimmy Carter Blvd
Suite 205
Norcross, GA 30093-3704
Phone (770) 676-5763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9402723FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Detox Duluth, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

2328 10th Ave N
Ste 302
Lake Worth Beach, FL 33461
Phone (561) 318-4411

3390 N Berkeley Lake Rd NW
Ste 100
Duluth, GA 30096
Phone (470) 327-8336

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1003298035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JIMMY CARTER BLVD STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933704",
            "telephone_number": "770-676-5763",
            "fax_number": "770-676-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JIMMY CARTER BLVD STE 205",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933704",
            "telephone_number": "770-676-5763",
            "fax_number": "770-676-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATACHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9402723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.