Individual provider Active NPI

Amanda Nicole Smith, MSN, FNP-BC

  • Family Nurse Practitioner
  • Trenton, GA
National Provider Identifier
1770175309
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
260929 Issued in GA
Practice address
12978 N Main St
Trenton, GA 30752-2241
Phone
(706) 657-4183
Fax
(706) 657-4270
NPI assigned
Feb 4, 2021
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 260929 GA Primary
Family Nurse Practitioner 363LF0000X 28556 TN

Addresses

Primary practice location

12978 N Main St
Trenton, GA 30752-2241

Mailing address

12978 N Main St
Trenton, GA 30752-2241
Phone (706) 657-4183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210308002122 TN Practitioner - Nurse Practitioner 7315353893 Reassigns benefits to 1 organization
I20220421000124 GA Practitioner - Nurse Practitioner 7315353893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12978 N Main Streer
Trenton, GA 30752-2241
Phone (706) 657-4183

611 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

615 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Mar 1, 2021 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

12978 N Main St
Trenton, GA 30752
Phone (706) 657-4183

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Interoperability endpoints

  • Direct secure messaging: amandasmith@tnmhpf.allscriptsdirect.net
  • Direct secure messaging: asmith134329@direct.stlukeshealth.org

Organizations & group practices 3

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 4

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1770175309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12978 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522241",
            "telephone_number": "706-657-4183",
            "fax_number": "706-657-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12978 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522241",
            "telephone_number": "706-657-4183",
            "fax_number": "706-657-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "260929",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, GA

Sources for this page

Verify at the official NPI Registry.