Individual provider Active NPI

Gloria Iris Smith, BSCN, MN, NP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1578035457
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN281687 Issued in GA
Practice address
310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone
(478) 787-6255
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN281687 GA Primary

Addresses

Primary practice location

310 Hospital Dr Ste 210
Macon, GA 31217-8026

Mailing address

310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone (478) 787-6255

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190522001735 GA Practitioner - Nurse Practitioner 6305189960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Spine and Orthopedics, LLCGroup PAC ID 0244549558, 4 clinicians

Practice addresses (Care Compare)

310 Hospital Dr
Suite 210
Macon, GA 31217-8026
Phone (478) 719-8895

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as group
Quality
95.04
Improvement activities
40
Cost
72.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN281687GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 31, 2019 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Feb 24, 2019 Accepting new patients
Georgia Spine & Orthopedics LLC CurrentSince Oct 1, 2021 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients

Locations

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

310 Hospital Dr
Ste 210
Macon, GA 31217
Phone (478) 742-3704

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

109 Osigian Blvd
Ste 200
Warner Robins, GA 31088
Phone (478) 272-2707

Interoperability endpoints

  • Direct secure messaging: gloria.smith@gso.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGCBD/Endpoint/CJGCBD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1578035457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR STE 210",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178026",
            "telephone_number": "478-787-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR STE 210",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178026",
            "telephone_number": "478-787-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GLORIA",
        "middle_name": "IRIS",
        "credential": "BSCN, MN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN281687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.