Mona Dennison Smith, NURSE PRACTITIONER

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN239737 Issued in GA

Practice address

1499 Fair Rd
Statesboro, GA 30458-1683

Phone

(912) 486-1433

Fax

(912) 871-2261

NPI assigned

Mar 28, 2017

Last updated

Feb 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statesboro Hma Physician Management LLCGroup PAC ID 8820196058, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
• Candler County Hospital Hospital, Metter, GA, CCN 111334
• Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142
• Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9506/brand/1/csg/1/fhir/r4

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.

• Statesboro Hma Physician Management LLC

  • Hospitalist Physician
  • Statesboro, GA
  • NPI 1558412023

  Acute Care

  Medicare reassignment Care Compare group NPD
• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751
  Medicare reassignment NPD
• Coastal Community Health Services, Inc.

  dba Coastal Community Health County Clinic

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1063282937
  NPD
• Frontline Internal Medicine LLC

  • Internal Medicine Physician
  • Statesboro, GA
  • NPI 1710328331
  NPD
• Coastal Community Health Services, Inc.

  dba Coastal Community Health - Pooler

  • Federally Qualified Health Center (FQHC)
  • Pooler, GA
  • NPI 1871350090
  NPD (past)
• McIntosh County Board of Health

  dba McIntosh County Health Department

  • Public Health or Welfare Agency
  • Townsend, GA
  • NPI 1316928930
  NPD (past)
• Southeastern Eye Clinic PC

  dba Vision Source - Professional Eye Care

  • Optometrist
  • Statesboro, GA
  • NPI 1225199979
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
  • NPI 1265486278
  Care Compare affiliation
• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826
  Care Compare affiliation
• Hospital Authority of Candler County

  dba Candler County Hospital

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  Care Compare affiliation
• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564
  Care Compare affiliation

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1669904884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1433",
            "fax_number": "912-871-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 Ga Highway 57",
            "address_purpose": "LOCATION",
            "city": "Townsend",
            "state": "GA",
            "postal_code": "313318130",
            "country_code": "US",
            "telephone_number": "912-832-5473 x112",
            "fax_number": "912-832-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Lester Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304584786",
            "country_code": "US",
            "telephone_number": "912-681-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MONA",
        "middle_name": "DENNISON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN239737",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN239737",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN239737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hubert Randolph Smith, M.D.
• Jeanna Lynn Smith, NURSE PRACTITIONER
• Jennifer Lynn Smith, FNP-C
• Julia K Smith, APN
• Katina P Smith, RN
• Sierra Renee Smith, RN
• Phyllis Evon Solomon, FNP
• Thomas A. Sorbera, M.D.
• Taylor Soucy
• South Georgia Center for Cancer Care, LLC (South Georgia Center for Cancer Care)

• Acute Care Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.