Individual provider Active NPI

Quiana Tirzah Smith, APRN

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1639520307
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20271 Issued in SC
Practice address
212 Montauk Dr
TLC Health Solutions
Greenville, SC 29607-5069
Phone
(864) 325-3981
Fax
(803) 404-6000
NPI assigned
Jun 23, 2016
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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 20271 SC Primary

Addresses

Primary practice location

212 Montauk Dr
TLC Health Solutions
Greenville, SC 29607-5069

Mailing address

212 Montauk Dr
Agape Senior Primary Care, Inc., Dba TLC Health Solutio
Greenville, SC 29607-5069
Phone (864) 325-3981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20161220000734 SC Practitioner - Nurse Practitioner 4284915836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

102 Crepe Myrtle Dr
Aiken, SC 29803-7546
Phone (800) 491-0909

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

128 Walnut LN
North Augusta, SC 29860-9206
Phone (800) 491-0909

1624 Paris Ave
Port Royal, SC 29935-2037
Phone (800) 491-0909

2370 Williston Rd
Aiken, SC 29803-9100
Phone (800) 491-0909

3215 Wise Creek LN
Aiken, SC 29801-2534
Phone (800) 491-0909

Merit-based Incentive Payment System (MIPS)

Final score
88.9 of 100Reported as individual
Quality
75.94
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 24, 2016 Accepting new patients
SC House Calls Inc CurrentSince Oct 24, 2016 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: quiana.smith.1@7602.direct.athenahealth.com

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1639520307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MONTAUK DR",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC., DBA TLC HEALTH SOLUTIO",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075069",
            "telephone_number": "864-325-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MONTAUK DR",
            "address_2": "TLC HEALTH SOLUTIONS",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075069",
            "telephone_number": "864-325-3981",
            "fax_number": "803-404-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "QUIANA",
        "middle_name": "TIRZAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.