Carrie Smith, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN215333 Issued in GA

Practice address

550 Professional Dr
Macon, GA 31201-1411

Phone

(478) 741-3007

Fax

(478) 330-6288

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1588072334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011411",
            "telephone_number": "478-741-3007",
            "fax_number": "478-330-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011411",
            "telephone_number": "478-741-3007",
            "fax_number": "478-330-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARRIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN215333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Franklin Smisson IV, MD
• Hugh Franklin Smisson III
• William Benjamin Smisson, MD
• Amanda Ellis Smith, MSW
• Angelica Smith, RBT
• Charles L Smith, MD
• Christopher Smith, RBT
• Craig Evan Smith, MD
• Donterio Marquell Smith, LPC
• Emsley Elena Smith, DMD

• Pediatric Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.