Individual provider Active NPI

Baillie Gaines Smith, NP

  • Adult Health Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1770119398
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG11190029 Issued in AL
Practice address
901 Leighton Ave Ste 103
Anniston, AL 36207-5703
Phone
(256) 201-6504
NPI assigned
Mar 15, 2020
Last updated
Mar 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG11190029 AL Primary

Addresses

Primary practice location

901 Leighton Ave Ste 103
Anniston, AL 36207-5703

Mailing address

35 Dunaway St
Heflin, AL 36264-1383
Phone (256) 201-6504

Other practice location 1

35 Dunaway St
Heflin, AL 36264-1383
Phone (256) 201-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118005051 AL Practitioner - Nurse Practitioner 4082105960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG11190029ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Anniston Current Accepting new patients
Anniston Pathology Current Accepting new patients
Regional Medical Center Board CurrentSince Aug 4, 2025 Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Aug 4, 2025 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1770119398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DUNAWAY ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641383",
            "telephone_number": "256-201-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 103",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075703",
            "telephone_number": "256-201-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Dunaway St",
            "address_purpose": "LOCATION",
            "city": "Heflin",
            "state": "AL",
            "postal_code": "362641383",
            "country_code": "US",
            "telephone_number": "256-201-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BAILLIE",
        "middle_name": "GAINES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "AG11190029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.