Active NPI
Sophia Loraine Smith, AGACNP
- Acute Care Nurse Practitioner
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN235925
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- NPI assigned
- Jul 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN235925 | GA | Primary |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
1949 Manor Oak Ln
Buford, GA 30519-6511
Phone (862) 438-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN235925 | Other | GA | ACUTE CARE NURSE PRACTITIONER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssmith63701@nghs.gadirect.net | Direct | Northeast Georgia Physicians Group, Inc. |
| Direct Messaging Address | ssmith63701@nghs.gadirect.net | Direct | Georgia Heart Institute LLC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 River PL
Braselton, GA 30517-5600
Phone (770) 848-8000
1404 River PL
Suite 501
Braselton, GA 30517-5600
Phone (770) 534-2020
200 S Enota Dr NE
Gainesville, GA 30501-3466
Phone (770) 534-2020
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 534-2020
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN235925 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Heart Center | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Cardiovascular Clinic of North Georgia PC | Current | Accepting new patients | |
| Georgia Heart Institute LLC | Current | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264
200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFEHBA
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1578839296
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1508812421
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1366094252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000"
}
],
"practiceLocations": [
{
"address_1": "1949 Manor Oak Ln",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305196511",
"country_code": "US",
"telephone_number": "862-438-6485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SOPHIA",
"middle_name": "LORAINE",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN235925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUTE CARE NURSE PRACTITIONER",
"identifier": "RN235925",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssmith63701@nghs.gadirect.net",
"affiliation": "Y",
"affiliationName": "Northeast Georgia Physicians Group, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssmith63701@nghs.gadirect.net",
"affiliation": "Y",
"affiliationName": "Georgia Heart Institute LLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.