Individual provider Active NPI

Ashley Smith, FNP-C

  • Family Nurse Practitioner
  • Warm Springs, GA
National Provider Identifier
1609342930
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN204044 Issued in GA
Practice address
65 Minnie Mill LN
Warm Springs, GA 31830-2203
Phone
(706) 575-4535
NPI assigned
Oct 14, 2018
Last updated
Oct 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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 RN204044 GA Primary

Addresses

Primary practice location

65 Minnie Mill LN
Warm Springs, GA 31830-2203

Mailing address

65 Minnie Mill LN
Warm Springs, GA 31830-2203

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
I20220215000573 GA Practitioner - Nurse Practitioner 2860885886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar MCG Health Warm Springs, Inc. Current Accepting new patients
Wellstar MCG Health Warm Springs, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

6135 Roosevelt Hwy
Warm Springs, GA 31830
Phone (706) 655-5461

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1609342930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MINNIE MILL LN",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MINNIE MILL LN",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302203",
            "telephone_number": "706-575-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, GA

Sources for this page

Verify at the official NPI Registry.