Collette Smith

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

633 Braidwood Dr NW
Acworth, GA 30101-3527

Phone

(678) 536-8737

NPI assigned

May 20, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1538099882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 BRAIDWOOD DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 BRAIDWOOD DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013527",
            "telephone_number": "678-536-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Slaton, D.M.D
• Lindsay Ashlinn Small, OTR/L
• Smilestone ABA LLC
• Adaline Smith, M.ED, CF-SLP
• Amiayah Smith
• Donna Marie Smith, LCSW
• Jonathan Smith, LPC
• Robin Olsen Smith
• Lisa Dates Snodgrass, LCSW
• Morris Socoloff

• Physician Assistant in Acworth, GA
• Providers in Acworth, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.