Brenda Gayle Smith, PMHCNS-BC, APRN/BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN185152 Issued in GA

Practice address

20 Hawkins St Apt G
Dahlonega, GA 30533-1154

Phone

(706) 974-5968

NPI assigned

Dec 29, 2012

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

Other names 1

• Brenda Simpson Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jydes Family Clinic LLC

  • Child & Adolescent Psychiatry Physician
  • Norcross, GA
  • NPI 1275840944
  NPD (past)

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356739200000",
    "number": "1730425307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAWKINS ST APT G",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331154",
            "telephone_number": "706-974-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAWKINS ST APT G",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331154",
            "telephone_number": "706-974-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "GAYLE",
        "credential": "PMHCNS-BC, APRN/BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-29",
        "last_updated": "2012-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN185152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "SMITH",
            "middle_name": "SIMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vickie Simmons, FNP
• Carrie S. Sisk, FNP
• Skye Helps
• Marina Slemmons, PHD, RN, CPNP
• Alexandra Renata Slone, RPH
• Kelsey Smith, DPT
• Nicole Lea Smith, FNP-C
• Shannon Price Smith, P.T.
• Timothy Gene Smith, LPN
• Kim Leigh Sockwell, CRNA

• Psychiatric/Mental Health Clinical Nurse Specialist in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; 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.