Nicole Smith, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP156452 Issued in GA

Practice address

840 Professional Center Dr
Eastman, GA 31023-6734

Phone

(478) 374-7801

NPI assigned

May 14, 2010

Last updated

Oct 9, 2025By the provider in NPPES

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 names 1

• Nicole Burdett Former name

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dodge County Hospital AuthorityGroup PAC ID 1759372733, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302
• Dodge County Hospital Hospital, Eastman, GA, CCN 110092
• Taylor Regional Hospital Hospital, Hawkinsville, GA, CCN 110781
• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCJDAD/Endpoint/BCJDAD
• FHIR API: https://fhir4.healow.com/fhir/r4/DDDGAA
• Direct secure messaging: nicolesmith@trh.allscriptsdirect.net

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.

• Dodge County Hospital Authority

  dba Dodge County Hospital

  • Rural Acute Care Hospital
  • Eastman, GA
  • NPI 1740272095
  Medicare reassignment Care Compare group NPD
• Dodge County Hospital Authority

  dba Eastman Family Practice

  • Family Medicine Physician
  • Eastman, GA
  • NPI 1255948717
  NPD
• Chandler Womens Health Center

  • Obstetrics & Gynecology Physician
  • Eastman, GA
  • NPI 1235396508
  NPD (past)
• John a. Glenn Jr. Center for Community Healthcare Inc.

  • Family Medicine Physician
  • Eastman, GA
  • NPI 1275736100
  NPD (past)
• N.T. Cardiovascular Center, PC

  • Cardiovascular Disease Physician
  • Perry, GA
  • NPI 1437399276
  NPD (past)

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

• Bleckley County Hospital

  dba Bleckley Memorial Hospital

  • Critical Access Hospital
  • Cochran, GA
  • NPI 1578637526
  Care Compare affiliation
• Dodge County Hospital Authority

  dba Dodge County Hospital

  • Rural Acute Care Hospital
  • Eastman, GA
  • NPI 1740272095
  Care Compare affiliation
• Fairview Park, Limited Partnership

  dba Fairview Park Hospital

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• Houston Hospitals Inc

  dba Emory Hospital Perry

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  dba Emory Hospital Warner Robins

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1396063368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-7801",
            "fax_number": "478-374-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PROFESSIONAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236734",
            "telephone_number": "478-374-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP156452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BURDETT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassie Smith, PHARMD
• Clayton A Smith, OD
• Debra Bradfield Smith, D.M.D.
• Dustin Phillip Smith, D.C.
• H. Wayne Smith, D.D.S.
• Southeast Georgia Treatment Center
• Southeastern Hospitalist Physicians, LLP
• Brandi Southerland, RD, LD
• Southern Emergency Physicians, LLP
• Southern Family Healthcare of Eastman Inc

• Family Nurse Practitioner in Eastman, GA
• Providers in Eastman, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.

Verify at the official NPI Registry.