Individual provider Active NPI

Mary Louise Steadman Smith, APN

  • Family Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1841367141
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
595 Issued in SC
Practice address
309 West Ave
North Augusta, SC 29841-3800
Phone
(803) 279-1412
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 595 SC Primary

Addresses

Primary practice location

309 West Ave
North Augusta, SC 29841-3800

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (803) 202-7159

Other practice location 1

107 Walnut Ln Ste 101
North Augusta, SC 29860-8629
Phone (803) 202-7159

Other identifiers 1

IdentifierTypeStateIssuer
NP0402MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20121101000049 SC Practitioner - Nurse Practitioner 9032369855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

325 Georgia Ave
Suite 200
North Augusta, SC 29841-3848
Phone (803) 442-5750

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
595SCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Umg Primary Care South Carolina, LLC CurrentSince Jul 1, 2020 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Mar 17, 2024 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Dec 31, 2023 Accepting new patients

Locations

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

107 Walnut Ln
#101
North Augusta, SC 29860
Phone (803) 202-7159

309 West Ave
North Augusta, SC 29841
Phone (803) 279-1412

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

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 and National Provider Directory roles.

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1841367141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "803-202-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WEST AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413800",
            "telephone_number": "803-279-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Walnut Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7159",
            "fax_number": "803-202-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY LOUISE",
        "middle_name": "STEADMAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0402",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.