Annette Stacy Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN072212 Issued in GA

Practice address

700 City Hall Dr
Ft Oglethorpe, GA 30742-7802

Phone

(706) 861-3387

NPI assigned

Sep 11, 2007

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

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.

• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Ft Oglethorpe, GA
  • NPI 1568599090
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1942495114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 CLOUD SPRINGS RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368411",
            "telephone_number": "805-896-9800",
            "fax_number": "851-155-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CITY HALL DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307427802",
            "telephone_number": "706-861-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNETTE",
        "middle_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN072212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sheets, OTD, OTR/L
• Denise Q. Shepard, O.D.
• Deborah Lourine Shirley, PHD
• Robert Jeremy Skelf
• Jeffrey Skillman, SPEECH THERAPIST SPE
• Elizabeth N Smith, PHARMD
• Aaron D Solomon, D.P.M.
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Medical Supply

• Licensed Practical Nurse in Ft Oglethorpe, GA
• Providers in Ft Oglethorpe, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.