Individual provider Active NPI

Angelyn Levell-Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1053821777
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN060582 Issued in GA
Practice address
2994 Atlanta Rd SE
Smyrna, GA 30080-3655
Phone
(770) 435-2178
NPI assigned
Oct 8, 2017
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN060582 GA Primary

Addresses

Primary practice location

2994 Atlanta Rd SE
Smyrna, GA 30080-3655

Mailing address

2994 Atlanta Rd SE
Smyrna, GA 30080-3655
Phone (770) 435-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Qcpi-Villagemd, PC CurrentSince Mar 31, 2024 Accepting new patients

Locations

235 Medical Blvd
Stockbridge, GA 30281
Phone (678) 902-0538

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1053821777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2994 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803655",
            "telephone_number": "770-435-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2994 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803655",
            "telephone_number": "770-435-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVELL-SMITH",
        "first_name": "ANGELYN",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN060582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.