Farah Smith, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN136145 Issued in GA

Practice address

300 Shirley Ave
Douglas, GA 31533-2332

Phone

(912) 384-7275

Fax

(912) 384-4353

NPI assigned

Jan 6, 2016

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

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

Medicare enrollment (NPD)

Enrolled

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.

• Douglas Medical Specialist

  • Cardiovascular Disease Physician
  • Douglas, GA
  • NPI 1154475085
  Medicare reassignment NPD
• Southern Gastroenterology& Hepatology Consultants Inc

  • Gastroenterology Physician
  • Douglas, GA
  • NPI 1336320761
  Medicare reassignment NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1447616461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 CLETUS NOLAN RD",
            "city": "WILLACOOCHEE",
            "state": "GA",
            "postal_code": "316503546",
            "telephone_number": "912-393-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-384-7275",
            "fax_number": "912-384-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FARAH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN136145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacato T Simpson, MSW
• Hewatt M Sims, MD
• James Stanley Sinclair, M.D.
• Smart Choice Nutrition
• Brandelyn Baggett Smith, LPC
• Matthew Oliver Smith, D.M.D.
• Robert Lynwood Smith, M.D.
• Teresa Smith, PHARMD
• South Central Primary Care Center, Inc
• South Central Primary Care Center, Inc

• Family Nurse Practitioner in Douglas, GA
• Providers in Douglas, 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 May 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.