Larissa Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN231604 Issued in GA

Practice address

2195 Pace St
Covington, GA 30014-6656

Phone

(470) 444-1005

NPI assigned

Apr 23, 2021

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: larissa.smith@cinq-nyipa.medentdirect.com

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.

• Care at Home Medical Practice PC

  • General Practice Physician
  • Atlanta, GA
  • NPI 1699552836
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1164149365
  Medicare reassignment NPD
• Pophealthcare Medical Services of Ga, LLC

  • Nurse Practitioner
  • Peachtree Corners, GA
  • NPI 1407340292

  Family

  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1619559150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 81 E UNIT 410",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 PACE ST",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146656",
            "telephone_number": "470-444-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN231604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Creations, PC
• Andrea Smith, LCSW
• Chantiona Nichele Smith
• George Leon Smith III, MD
• Karen Yvonne Smith
• Ryan Kyle Smith, PA-C
• Samira Desree Smith, LCSW
• Wendell Smith, MD
• Samia Michelle Solaiman, LCSW
• Southeastern Neurology Associates,LLC

• Family Nurse Practitioner in Covington, GA
• Providers in Covington, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.