Nacole Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7288 Issued in TN

Practice address

6600 Van Aalst Blvd
Columbus, GA 31905-2102

Phone

(762) 408-4067

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1932702453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "city": "FORT MOORE",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-4067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Shallowford Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374215406",
            "country_code": "US",
            "telephone_number": "423-893-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Spring Creek Rd Apt 146",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374123968",
            "country_code": "US",
            "telephone_number": "229-389-8066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Martin Luther King Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022571",
            "country_code": "US",
            "telephone_number": "423-400-0107",
            "fax_number": "800-470-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NACOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "7288",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maketa D Smith, NURSE PRACTITIONER
• Mark P Smith, O.D.
• Melissa Monique Smith
• Miranteiya Smith
• Miriam Smith
• Narkesha Smith
• Neora Smith
• Nicholas Craig Smith, DPM
• Nikki Quanette Smith
• Ondrea Smith

• Clinical Social Worker in Columbus, GA
• Providers in Columbus, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.