Individual provider Active NPI

Erin Elizabeth Smith, NP

  • Family Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1619658796
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP001548 Issued in GA
Practice address
2300 Jewels Way
Opelika, AL 36804-8433
Phone
(334) 332-7795
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 GAA-NP001548 GA Primary

Addresses

Primary practice location

2300 Jewels Way
Opelika, AL 36804-8433

Mailing address

2300 Jewels Way
Opelika, AL 36804-8433

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
I20231221002295 GA Practitioner - Nurse Practitioner 0345690004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Physician Services LLCGroup PAC ID 6305100850, 33 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP001548GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC CurrentSince Nov 20, 2023 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1619658796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 JEWELS WAY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368048433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JEWELS WAY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368048433",
            "telephone_number": "334-332-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.