Active NPI
Rose Gayle-Smith, N.P.
- Nurse Practitioner
- Conyers, GA
National Provider Identifier
1679962534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN092585
- Practice address
- 2081 Millstone Dr SW
Conyers, GA 30094-3981 - Phone
- (404) 272-4405
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN092585 | GA | Primary |
Addresses
Primary practice location
2081 Millstone Dr SW
Conyers, GA 30094-3981
Mailing address
2081 Millstone Dr SW
Conyers, GA 30094-3981
Phone (404) 272-4405
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN092585 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Care Leaders LLC | Nurse Practitioner | Current | Accepting new patients |
| Vitas Healthcare Corporation of Georgia | Current | Accepting new patients |
Locations
925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332
156 Pine Knoll Dr
Carrollton, GA 30117
Phone (770) 832-8243
2000 Riveredge Pkwy
Ste GL100
Sandy Springs, GA 30328
Phone (404) 843-6500
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Carrollton, GA
- NPI 1033689336
Nurse Practitioner
-
- Community Based Hospice Care Agency
- Atlanta, GA
- NPI 1932242260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1679962534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 MILLSTONE DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943981",
"telephone_number": "404-272-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 MILLSTONE DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943981",
"telephone_number": "404-272-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLE-SMITH",
"first_name": "ROSE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN092585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.