Gina Nicole Smith, APC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

014002 Issued in GA

Practice address

221 Executive Cir Ste 221
Savannah, GA 31406-4536

Phone

(912) 465-1238

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life in Perspective, LLC

  • Mental Health Counselor
  • Savannah, GA
  • NPI 1639029812
  NPD
• Building Blocks Family Counseling

  • Marriage & Family Therapist
  • Pooler, GA
  • NPI 1487118543
  NPD (past)
• Moore Counseling and Consulting Services, LLC.

  • Marriage & Family Therapist
  • Pooler, GA
  • NPI 1548792682
  NPD (past)

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1104522275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E 57TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045461",
            "telephone_number": "912-675-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 EXECUTIVE CIR STE 221",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064536",
            "telephone_number": "912-465-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Skinner Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313223221",
            "country_code": "US",
            "telephone_number": "912-349-8043",
            "fax_number": "912-988-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "credential": "APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "014002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104522275",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Michelle Smith, FNP-BC
• Evalee Paige Smith, LCSW
• Georgegtte Shari Smith, BSN, RN
• Gerard Smith, D.M.D.
• Giavanni Smith
• Hillary Smith, AGACNP-BC
• James Deree Smith, M.D.
• Jennifer Ann Smith, P.T.
• Jerminthia Smith
• Jessica Lynn Smith, FNP-C

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.