Tracy Smith, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN128384 Issued in GA

Practice address

1501 Miluli Ave
Bainbridge, GA 39819-5700

Phone

(229) 524-8489

NPI assigned

Feb 8, 2016

Last updated

Sep 25, 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 1

Addresses

Other names 1

• Tracy Brown Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Authority of the City of Bainbridge and Decatur CountyGroup PAC ID 1658265137, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132
• Miller County Hospital Hospital, Colquitt, GA, CCN 111305

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.smith@mh-m.gadirect.net

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 Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  Medicare reassignment Care Compare group NPD
• Hospital Authority of the City of Bainbridge and Decatur County Georgi

  dba Magnolia Womens Center

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1548788771
  NPD

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

• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  Hospital

  Care Compare affiliation
• The Hospital Authority of Miller County

  dba Miller County Hospital

  • Critical Access Hospital
  • Colquitt, GA
  • NPI 1114085297
  Care Compare affiliation

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1932567708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MILULI AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195700",
            "telephone_number": "229-243-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MILULI AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195700",
            "telephone_number": "229-524-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN128384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlie Avery Shipes, LCSW
• Amy Shiver
• Latoya Simmons
• Mary Beth Smith, MD
• Richard Lynn Smith, R. PH.
• South Albany Pharmacy (U Save It Pharmacy Bainbridge)
• South Albany Pharmacy LLC (U Save It Pharmacy Bainbridge LTC)
• South Georgia Spine and Joint Center, LLC (South Georgia Spine and Joint Center)
• Southern Serenity Home Care
• Southern Serenity Wellness

• Family Nurse Practitioner in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.