Individual provider Active NPI

Erin Michelle Smith, NP-C

  • Family Medicine Physician
  • Carrollton, GA
National Provider Identifier
1245913532
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN209301 Issued in GA
Practice address
706 Dixie St Ste 350
Carrollton, GA 30117-3860
Phone
(770) 812-5831
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN209301 GA Primary

Addresses

Primary practice location

706 Dixie St Ste 350
Carrollton, GA 30117-3860

Mailing address

706 Dixie St Ste 350
Carrollton, GA 30117-3860
Phone (770) 812-5831

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911000254 GA Practitioner - Nurse Practitioner 0446614473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Matrix Rehabilitation-Georgia IncGroup PAC ID 2567379498, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN209301GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Family Medicine CurrentSince Sep 25, 2023 Accepting new patients
TMC Immediate Care, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710

706 Dixie St
Ste 350
Carrollton, GA 30117
Phone (770) 812-5831

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Organizations & group practices 2

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1245913532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 350",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173860",
            "telephone_number": "770-812-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 350",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173860",
            "telephone_number": "770-812-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN209301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.