Nichola Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010715 Issued in GA

Practice address

277 MLK Blvd Ste 203
Macon, GA 31201-3498

Phone

(478) 745-2811

NPI assigned

Apr 29, 2017

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

Other identifiers 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": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1255866067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MLK BLVD STE 203",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MLK BLVD STE 203",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013498",
            "telephone_number": "478-745-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003221241A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Smith, CCC-SLP
• Matthew Christopher Smith, MD
• Matthew Stanley Smith, DO
• Millie Ann Smith
• Misti Stapleton Smith, OD
• Norman Joe Smith, MD
• Rachel Holland Smith, NP-C
• Ryan Matthew Smith, RD, LD
• Stephanie Ray Smith, CFNP
• T'Khira Smith, SLP-CCC

• Professional Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.