Individual provider Active NPI

Rachel Holland Smith, NP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1316363500
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN196061 Issued in GA
Practice address
2064 Vineville Ave
Macon, GA 31204
Phone
(478) 743-1478
NPI assigned
Mar 12, 2014
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN196061 GA Primary

Addresses

Primary practice location

2064 Vineville Ave
Macon, GA 31204

Mailing address

2064 Vineville Ave
Macon, GA 31204-3140
Phone (478) 743-1478

Other practice location 1

1360 Caduceus Way
Building 400, Suite 104
Watkinsville, GA 30677-7300
Phone (706) 850-8135

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
I20190618001583 GA Practitioner - Nurse Practitioner 7012240492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Cardiology Associates PCGroup PAC ID 7810985645, 8 clinicians
Georgia Heart Physicians LLCGroup PAC ID 0345204418, 8 clinicians

Practice addresses (Care Compare)

206 Hospital Dr
Suite a
Dublin, GA 31021-2560
Phone (478) 272-3525

540 W Thomas St
Suite E
Milledgeville, GA 31061-2745
Phone (478) 738-9443

654 1St St
Macon, GA 31201-2851
Phone (478) 738-9443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN196061GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Heart Physicians LLC CurrentSince Mar 30, 2022 Accepting new patients
Macon Electrophysiology Associates Past Accepting new patients

Locations

105 Avera Dr
Fort Valley, GA 31030
Phone (478) 633-1458

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

654 1st St
Macon, GA 31201
Phone (478) 738-9443

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

800 1st St
Ste 330
Macon, GA 31201
Phone (912) 738-9443

540 W Thomas St
Ste E
Milledgeville, GA 31061
Phone (478) 738-9443

1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 394-6061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA
  • Direct secure messaging: rsmith432868@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1316363500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043140",
            "telephone_number": "478-743-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-743-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Caduceus Way",
            "address_2": "Building 400, Suite 104",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306777300",
            "country_code": "US",
            "telephone_number": "706-850-8135",
            "fax_number": "706-548-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "HOLLAND",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN196061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.