Individual provider Active NPI

Joyce Smith, RN

  • Registered Nurse
  • Decatur, GA
National Provider Identifier
1427422435
Registry record updated Nov 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
085858 Issued in GA
Practice address
2450 Lawrenceville Hwy
Suite 101
Decatur, GA 30033-3268
Phone
(770) 609-6976
Fax
(404) 601-9622
NPI assigned
Nov 15, 2015
Last updated
Nov 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 085858 GA Primary

Addresses

Primary practice location

2450 Lawrenceville Hwy
Suite 101
Decatur, GA 30033-3268

Mailing address

2450 Lawrenceville Hwy
Suite 101
Decatur, GA 30033-3268
Phone (770) 609-6976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
085858GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1427422435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LAWRENCEVILLE HWY",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333268",
            "telephone_number": "770-609-6976",
            "fax_number": "404-601-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 LAWRENCEVILLE HWY",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333268",
            "telephone_number": "770-609-6976",
            "fax_number": "404-601-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOYCE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-15",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "085858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.