Active NPI
Smitha Georgy, NP- BC
- Family Nurse Practitioner
- Redford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704251884
- Practice address
- 26129 W 6 Mile Rd
Redford, MI 48240-2218 - Phone
- (313) 543-3100
- NPI assigned
- Nov 27, 2018
- Last updated
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704251884 | MI | Primary |
| Registered Nurse | 163W00000X | 4704251884 | MI |
Addresses
Primary practice location
26129 W 6 Mile Rd
Redford, MI 48240-2218
Mailing address
48615 Red Oak Dr
Shelby Township, MI 48315-4050
Phone (248) 835-7517
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-0610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16250 Northland Dr
Southfield, MI 48075-5228
Phone (248) 862-5311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704251884 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Visiting Physicians, PLLC | Current | Accepting new patients | |
| Wings of Angel Home Health Care, LLC | Past | Accepting new patients | |
| MVP Diagnostic Laboratory LLC | Past | Accepting new patients |
Locations
16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311
4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007
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.
-
- General Practice Physician
- Garden City, MI
- NPI 1073230876
-
- Clinical Medical Laboratory
- Southfield, MI
- NPI 1912513185
-
- Home Health Agency
- Southfield, MI
- NPI 1619030251
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Southfield, MI
- NPI 1598743205
-
- Home Health Agency
- Farmington Hills, MI
- NPI 1992963326
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1356811822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48615 RED OAK DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154050",
"telephone_number": "248-835-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26129 W 6 MILE RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482402218",
"telephone_number": "313-543-3100"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-0610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGY",
"first_name": "SMITHA",
"name_prefix": "Mrs.",
"credential": "NP- BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2022-11-10",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704251884",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704251884",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.