Mona Dennison Smith, NURSE PRACTITIONER
Individual provider Active NPI Acute Care Nurse Practitioner · Statesboro, GA
NPI 1669904884 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1669904884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- RN239737 (GA)
- Practice address
- 1499 Fair Rd
Statesboro, GA 30458-1683 - Phone
- (912) 486-1433
- Fax
- (912) 871-2261
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Statesboro Hma Physician Management LLC
Practice addresses (Care Compare)
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 871-5437
Hospital & facility affiliations
- East Georgia Regional Medical Center
- Candler County Hospital
- Evans Memorial Hospital
- Memorial Health Meadows Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201117000311 | GA | Practitioner - Nurse Practitioner | 4880005255 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Community Health Services, Inc. | Current |
Accepting new patients | |
| Frontline Internal Medicine LLC | Current |
Accepting new patients | |
| Statesboro Hma Physician Management LLC | Acute Care | Current |
Accepting new patients |
| Coastal Community Health Services Inc | Current |
Accepting new patients | |
| Southeastern Eye Clinic PC | Past |
Accepting new patients | |
| McIntosh County Board of Health | Past | Accepting new patients |
Locations
1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-2006
106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208
100 Professional Center Dr
Brunswick, GA 31525
202 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 534-3085
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
6574 Shellman Bluff Rd NE
Townsend, GA 31331
Phone (912) 623-4755
1299 Highway 57
Townsend, GA 31331
Phone (912) 574-5277
Interoperability endpoints
- https://api.platform.athenahealth.com/9506/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN239737 | GA | |
| Registered Nurse | 163W00000X | RN239737 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN239737 | GA | Yes |
Addresses
Primary practice location
1499 Fair Rd
Statesboro, GA 30458-1683
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211
Other practice location 1
1335 Ga Highway 57
Townsend, GA 31331-8130
Phone (912) 832-5473 ext. 112
Other practice location 2
6 Lester Rd
Statesboro, GA 30458-4786
Phone (912) 681-8999
Other providers in Statesboro, GA
- Hubert Randolph Smith
- Jeanna Lynn Smith
- Jennifer Lynn Smith
- Julia K Smith
- Katina P Smith
- Sierra Renee Smith
- Phyllis Evon Solomon
- Thomas A. Sorbera
- Taylor Soucy
- South Georgia Center for Cancer Care, LLC
All providers in Statesboro, GA · Acute Care Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.