Active NPI
Gina K Smoot, MSN, FNP-C, CCM
- Family Nurse Practitioner
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024184110
- Practice address
- 5930 Harbour Park Dr
Midlothian, VA 23112-2169 - Phone
- (804) 893-0337
- Fax
- (689) 202-0711
- NPI assigned
- Apr 11, 2022
- Last updated
- Feb 15, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024184110 | VA | Primary |
Addresses
Primary practice location
5930 Harbour Park Dr
Midlothian, VA 23112-2169
Mailing address
5930 Harbour Park Dr
Midlothian, VA 23112-2169
Phone (804) 893-0337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5930 Harbour Park Dr
Midlothian, VA 23112-2169
Phone (804) 893-0337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlomed LLC | Family | Current | Accepting new patients |
Locations
5930 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 893-0337
7410 Hull Street Rd
Ste 200
North Chesterfield, VA 23235
Phone (804) 893-0337
Organizations & group practices 1
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": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739577600000",
"number": "1720720683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5930 HARBOUR PARK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122169",
"telephone_number": "804-893-0337",
"fax_number": "689-202-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 HARBOUR PARK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122169",
"telephone_number": "804-893-0337",
"fax_number": "689-202-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOOT",
"first_name": "GINA",
"middle_name": "K",
"credential": "MSN, FNP-C, CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2025-02-15",
"certification_date": "2025-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024184110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.