Individual provider Active NPI

Erin Dee Smith

  • Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1023733300
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP219283 Issued in GA
Practice address
1336 Highway 54 W BLDG 500
Fayetteville, GA 30214-4574
Phone
(770) 461-1238
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP219283 GA Primary

Addresses

Primary practice location

1336 Highway 54 W BLDG 500
Fayetteville, GA 30214-4574

Mailing address

1336 Highway 54 W BLDG 500
Fayetteville, GA 30214-4574
Phone (770) 461-1238

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
I20221207000748 GA Practitioner - Nurse Practitioner 7315316726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

1336 Hwy 54 W
Fayetteville, GA 30214-4535
Phone (770) 461-1238

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP219283GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC CurrentSince Dec 5, 2022 Accepting new patients
Resurgens, LLC CurrentSince Dec 5, 2022 Accepting new patients
Northern Cochise Community Hospital Inc PastSince Oct 1, 2022 Accepting new patients

Locations

3885 Princeton Lakes Way SW
Ste 310
Atlanta, GA 30331
Phone (404) 346-9233

1336 Highway 54 W
Bldg 500
Fayetteville, GA 30214
Phone (770) 461-1238

1336 Highway 54 W
Fayetteville, GA 30214
Phone (404) 590-6890

665 S 8th St
Griffin, GA 30224
Phone (770) 227-7050

1585 N Expressway
Griffin, GA 30223
Phone (770) 227-7050

156 Foster Dr
Ste B
McDonough, GA 30253
Phone (770) 506-4119

2301 Newnan Crossing Blvd E
Ste 100
Newnan, GA 30265
Phone (678) 333-6600

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

Interoperability endpoints

  • Direct secure messaging: erin.smith.1@15749.direct.athenahealth.com

Organizations & group practices 3

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1023733300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144574",
            "telephone_number": "770-461-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144574",
            "telephone_number": "770-461-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "DEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP219283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.