Individual provider Active NPI

James C Smith, NP

  • Family Nurse Practitioner
  • Hawkinsville, GA
National Provider Identifier
1326134826
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP124380 Issued in GA
Practice address
259 Broad St
Hawkinsville, GA 31036-4818
Phone
(478) 300-7107
Fax
(478) 783-3961
NPI assigned
Oct 4, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 APRN-NP124380 GA Primary

Addresses

Primary practice location

259 Broad St
Hawkinsville, GA 31036-4818

Mailing address

259 Broad St
Hawkinsville, GA 31036-4818
Phone (478) 300-7107

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
I20050906000018 GA Practitioner - Nurse Practitioner 2163454786 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP124380GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Careconnect Health, Inc. CurrentSince Dec 7, 2021 Accepting new patients

Locations

259 Broad St
Hawkinsville, GA 31036
Phone (478) 300-7107

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1326134826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BROAD ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310364818",
            "telephone_number": "478-300-7107",
            "fax_number": "478-783-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BROAD ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310364818",
            "telephone_number": "478-300-7107",
            "fax_number": "478-783-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP124380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkinsville, GA

Sources for this page

Verify at the official NPI Registry.