Rosa Smith

Primary specialty

ContractorTaxonomy code 171W00000X

License

556630 Issued in NC

Practice address

3618 Cameron Dr
Augusta, GA 30906-4306

Phone

(706) 294-1215

NPI assigned

Oct 11, 2025

Last updated

Dec 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ro's Legacy Builders

  • In Home Supportive Care Agency
  • Augusta, GA
  • NPI 1073480976
  NPD Authorized official
• Uniquelycreatedro

  • In Home Supportive Care Agency
  • Troy, NC
  • NPI 1235009713
  NPD Authorized official

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1831065556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WILLIAMS ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713522",
            "telephone_number": "706-294-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 CAMERON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064306",
            "telephone_number": "706-294-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "556630",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "556630",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NC",
            "license": "556630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelba Jean Smith
• Philip H. Smith, MD
• Qayniece L. Smith
• Randi E Smith
• Robert Scott Smith, FNP-C
• Ryan Thomas Smith, MD
• Shawnda Smith, OTR/L
• Sheri Elaine Smith, MT-BC
• Shlonda Brown Smith
• Stephen Smith

• Contractor in Augusta, GA
• Providers in Augusta, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.