Active NPI
Karl Smart
- Psychiatric/Mental Health Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN279645
- Practice address
- 745 S Milledge Ave
Athens, GA 30605-1252 - Phone
- (706) 498-9560
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 581186 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 17645 | CA | |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 2794 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN279645 | GA | Primary |
Addresses
Primary practice location
745 S Milledge Ave
Athens, GA 30605-1252
Mailing address
411 Holman Ave
Athens, GA 30606-2666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17645 | CA | MD | Clinical Social Worker |
| 581186 | CA | MD | Pediatric Registered Nurse |
| RN279645 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Current | Accepting new patients | |
| Personal Recovery Network LLC | Current | Accepting new patients | |
| John Muir Physician Network | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
1450 Treat Blvd
Ste 200
Walnut Creek, CA 94597
Phone (925) 296-7340
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1124295332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 HOLMAN AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 S MILLEDGE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306051252",
"telephone_number": "706-498-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "KARL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "581186",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "17645",
"primary": false
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "CA",
"license": "2794",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN279645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.