Active NPI
Danyelle M Smith, FNP
- Family Nurse Practitioner
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN194165
- Practice address
- 1755 Parker Rd SE Ste A120
Conyers, GA 30094-6665 - Phone
- (770) 922-5696
- Fax
- (770) 922-3842
- NPI assigned
- Jul 18, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN194165 | GA | Primary |
Addresses
Primary practice location
1755 Parker Rd SE Ste A120
Conyers, GA 30094-6665
Mailing address
565 Old Norcross Rd
Lawrenceville, GA 30046-4308
Phone (770) 995-5131
Other practice location 1
565 Old Norcross Rd
Lawrenceville, GA 30046-4308
Phone (770) 995-5131
Other practice location 2
2987 Clairmont Rd NE Ste 130
Brookhaven, GA 30329-1687
Phone (404) 417-9333
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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 Parker Serd
A120
Conyers, GA 30094-6665
Phone (770) 922-5696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Allergy & Asthma Center, LLC | Current | Accepting new patients |
Locations
2987 Clairmont Rd NE
Ste 130
Brookhaven, GA 30329
Phone (404) 417-9333
1755 Parker Rd SE
Conyers, GA 30094
1755 Parker Rd SE
Ste A120
Conyers, GA 30094
Phone (770) 922-5696
2390 Wall St SE
Conyers, GA 30013
Phone (770) 922-5696
565 Old Norcross Rd
Ste 101
Lawrenceville, GA 30046
Phone (770) 995-5131
565 Old Norcross Rd
Lawrenceville, GA 30046
Phone (770) 962-5040
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Lawrenceville, GA
- NPI 1467671305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1528611522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464308",
"telephone_number": "770-995-5131",
"fax_number": "770-995-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 PARKER RD SE STE A120",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946665",
"telephone_number": "770-922-5696",
"fax_number": "770-922-3842"
}
],
"practiceLocations": [
{
"address_1": "565 Old Norcross Rd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300464308",
"country_code": "US",
"telephone_number": "770-995-5131",
"fax_number": "770-995-3482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2987 Clairmont Rd NE Ste 130",
"address_purpose": "LOCATION",
"city": "Brookhaven",
"state": "GA",
"postal_code": "303291687",
"country_code": "US",
"telephone_number": "404-417-9333",
"fax_number": "404-417-9788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DANYELLE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN194165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.