Rachelle A Smith, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0324206 Issued in GA

Practice address

1217 N Columbia Dr
Milledgeville, GA 31061-2391

Phone

(478) 453-7516

NPI assigned

Jul 10, 2017

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oconee Urology, P.C.

  • Specialist
  • Milledgeville, GA
  • NPI 1770681033
  NPD
• Hastings Convenient Care PC

  • Urgent Care Clinic/Center
  • Hastings, NE
  • NPI 1710203054

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1770005084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612391",
            "telephone_number": "478-453-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612391",
            "telephone_number": "478-453-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 S. Burlington Ave",
            "address_2": "Hastings Convenient Care Suite #108",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "68901",
            "country_code": "US",
            "telephone_number": "402-463-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHELLE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112245",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "0324206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Woodruff Smith, OT - R/L
• James Olvin Smith Jr., M.D.
• Laura Elizabeth Smith, PHARMD
• Macie L Smith
• Molly Cleveland Smith, D.M.D.
• Tamara Smith
• Wendy W Smith, MSN, APRN, FNP-C
• Keshana Snead, APRN
• Nusheco S Sneid-Arnold, LPC
• Mohit Sobti, OT

• Nurse Practitioner in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.