Lana Smith, CSW006563

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1145 Pine Lake Dr
Grayson, GA 30017-7926

Phone

(404) 522-3100

NPI assigned

Jan 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1750779237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GREGG HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016341",
            "telephone_number": "803-649-1900",
            "fax_number": "803-643-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 PINE LAKE DR",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177926",
            "telephone_number": "404-522-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Gregg Hwy",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016341",
            "country_code": "US",
            "telephone_number": "803-649-1900 x301",
            "fax_number": "803-643-2926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LANA",
        "credential": "CSW006563",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "570569761",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD01AK",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherice Nicole Shine-Cross, LPC
• Shun Hsu DDS LLC
• Irina Sidorenko
• Ashlee Noel Sitzmann-Hedges, LCSW
• Duane Gilbert Smalls
• Laqunita Smith
• Sandra Mayfield Snyder Jr., LCSW
• Tojy Stephen
• Lorrie Jean Stewart, RN, PNP
• Cynthia Anne Still, RNFA

• Counselor in Grayson, GA
• Providers in Grayson, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.