Active NPI
Atlanta Wound Care Specialist, LLC
Doing business as Atlanta Wound Care
- Nurse Practitioner
- Dacula, GA
National Provider Identifier
1124837000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ATLANTA WOUND CARE SPECIALIST, LLC
- Doing business as
- Atlanta Wound Care
- Practice address
- 1055 Fairview Club Cir
Dacula, GA 30019-3192 - Phone
- (678) 270-7378
- NPI assigned
- Jan 4, 2025
- Last updated
- Feb 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sherry M Smith, BSN, RN
- Title
- Administrator
- Phone
- (678) 270-7378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
1055 Fairview Club Cir
Dacula, GA 30019-3192
Mailing address
1055 Fairview Club Cir
Dacula, GA 30019-3192
Phone (678) 270-7378
Other names 1
- Atlanta Wound Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1164013710
-
- Family Medicine Physician
- Bethlehem, GA
- NPI 1053536177
-
- Home Health Registered Nurse
- Lawrenceville, GA
- NPI 1538725197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770336000000",
"number": "1124837000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 FAIRVIEW CLUB CIR",
"city": "DACULA",
"state": "GA",
"postal_code": "300193192",
"telephone_number": "678-270-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 FAIRVIEW CLUB CIR",
"city": "DACULA",
"state": "GA",
"postal_code": "300193192",
"telephone_number": "678-270-7378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA WOUND CARE SPECIALIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-04",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-270-7378",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSN, RN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta Wound Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.