Individual provider Active NPI

Hannah Kai Smith

  • Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1114561693
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26207 Issued in TN
Practice address
5010 Trotwood Ave
Columbia, TN 38401-5074
Phone
(931) 388-1615
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 26207 TN Primary

Addresses

Primary practice location

5010 Trotwood Ave
Columbia, TN 38401-5074

Mailing address

68 Triple S Rd
Lawrenceburg, TN 38464-7466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200424002913 TN Practitioner - Nurse Practitioner 3173953510 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caris Palliative Care LLCGroup PAC ID 3375876485, 9 clinicians

Practice addresses (Care Compare)

1412 Trotwood Ave
Suite 11
Columbia, TN 38401-4983
Phone (931) 279-0041

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26207TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renuven Aco PLLC CurrentSince Jun 18, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Iris Medical Group Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Integrated Health Transitions, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Caris Palliative Care LLC CurrentSince Nov 10, 2019 Accepting new patients
Iris Wound Care, PC Nurse Practitioner Past Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

1412 Trotwood Ave
Ste 11
Columbia, TN 38401
Phone (931) 279-0041

5010 Trotwood Ave
Columbia, TN 38401
Phone (931) 388-1615

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

10651 Coward Mill Rd
Knoxville, TN 37931
Phone (865) 694-4988

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114561693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 TRIPLE S RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384647466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 TROTWOOD AVE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015074",
            "telephone_number": "931-388-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HANNAH",
        "middle_name": "KAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.