Victoria Alexus Smith, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

291922 Issued in GA

Practice address

1411 Chattanooga Ave
Dalton, GA 30720-2673

Phone

(706) 272-0272

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1225669583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JADA LN",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202673",
            "telephone_number": "706-272-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VICTORIA",
        "middle_name": "ALEXUS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "291922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ccdstaff@yahoo.com",
            "affiliation": "N",
            "address_1": "1411 Chattanooga Ave",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307202673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Rene Smith, LPC
• Quentin Smith, MD
• Tammy Smith
• Teina Smith
• Terry Lee Smith
• Wiley Allen Smith, M.D.
• Christopher Glenn Smotherman, P.T., DPT
• Caroline Snellgrove, M.S., CCC-SLP
• SNH Georgia Tenant LLC (Morningside of Dalton)
• William Bradley Snipes Sr., DMD, MS

• Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.