Active NPI
Emily Rose Smith
- Physician Assistant
- Hiram, GA
National Provider Identifier
1477493542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756 - Phone
- (943) 202-7010
- NPI assigned
- Mar 30, 2026
- Last updated
- Mar 30, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756
Mailing address
148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756
Phone (943) 202-7010
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
- Physician Assistant
- Education
- University of South Carolina School of Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 670747
Marietta, GA 30066
PO Box
Suite 670747
Marietta, GA 30066-0130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1477493542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 BILL CARRUTH PKWY STE 120",
"city": "HIRAM",
"state": "GA",
"postal_code": "301413756",
"telephone_number": "943-202-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 BILL CARRUTH PKWY STE 120",
"city": "HIRAM",
"state": "GA",
"postal_code": "301413756",
"telephone_number": "943-202-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EMILY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
- Landa Shynika Silas
- Mindy Lynn Simms, DDS
- Christine Sims, MA, LAPC, NCC, CGP,
- Kayon Elaine Sinclair, DNP,FNP/BC
- Harjas Singh, MD
- Tifini Smith
- Soar Health, Inc.
- Soles to Heel Foot and Ankle, LLC
- Som Services LLC (ComForCare Douglas Paulding)
- South Gaorthopedic Resources (Georgia Orthopedic Resources)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.