Laura Smith, ACNPC-AG

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

31383 Issued in TN

Practice address

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931

Phone

(901) 767-5864

Fax

(901) 767-6591

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Laura June Smith Other name

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

Merit-based Incentive Payment System (MIPS)

Final score

86.71 of 100Reported as group

Quality

71.4

Promoting interoperability

100

Improvement activities

40

Cost

72.14

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Memphis Lung Physicians Foundation, Inc.

  • Pulmonary Disease Physician
  • Germantown, TN
  • NPI 1811279656

  Acute Care, MS

  Medicare reassignment Care Compare group NPD
• Memphis Lung Physicians, P.C.

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1053340166
  NPD (past)

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

• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1407502396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD STE 250",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383931",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Southcrest Cir Ste 212",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716721",
            "country_code": "US",
            "telephone_number": "662-349-0488",
            "fax_number": "662-349-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "905198",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "31383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SMITH",
            "middle_name": "JUNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christa Burkes Smith, RN, MSN, NNP
• Heather Smith, FNP
• Kevin Smith
• Kierra Smith
• Kimberly Shawn Smith, MOTR/L
• Laura Leigh Smith, OTR
• Mark Steven Smith, D.D.S.
• Matthew Paul Smith, PH D
• Rachael E Smith, M.D.
• Rebecca Ann Smith, AU.D., CCC-A

• Acute Care Nurse Practitioner in Germantown, TN
• Providers in Germantown, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.