Active NPI
Kristin Aloi Smith, APRN
- Family Nurse Practitioner
- Roswell, GA
National Provider Identifier
1205189552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0912529
- Practice address
- 1380 Woodstock Rd
Roswell, GA 30075-2141 - Phone
- (866) 389-2727
- NPI assigned
- Oct 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0912529 | GA | Primary |
Addresses
Primary practice location
1380 Woodstock Rd
Roswell, GA 30075-2141
Mailing address
1380 Woodstock Rd
Roswell, GA 30075-2141
Phone (954) 895-4102
Other practice location 1
5370 Laurel Springs Pkwy
Suwanee, GA 30024-6027
Phone (678) 947-6616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0912529 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care PLLC | Family | Current | Accepting new patients |
Locations
1380 Woodstock Rd
Roswell, GA 30075
Phone (770) 640-3131
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
5370 Laurel Springs Pkwy
Suwanee, GA 30024
Phone (678) 760-5292
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1205189552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 WOODSTOCK RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752141",
"telephone_number": "954-895-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 WOODSTOCK RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752141",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "5370 Laurel Springs Pkwy",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300246027",
"country_code": "US",
"telephone_number": "678-947-6616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTIN",
"middle_name": "ALOI",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "F0912529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.