Evon Smith

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN117217 Issued in GA

Practice address

105 Kellie LN
Fayetteville, GA 30214-3817

Phone

(404) 452-8275

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1679942098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KELLIE LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143817",
            "telephone_number": "404-452-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KELLIE LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143817",
            "telephone_number": "404-452-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN117217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Smith, RBT, BS
• Barbara Ann Smith, DPT
• Connor Mitchell Smith, MD
• Cynthia M Smith, PA-C
• Erin Dee Smith
• Harvelyn Duncan Smith, P.T.
• Ida Smith, NP
• Jennifer Smith
• Jerikka Smith
• Joli A Smith, PA-C

• Community Health Registered Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Community Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.