Monique Smith, FNP

Key facts

NPI

1962237529

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

RN287178 (GA)

Practice address

4604 Michael Jay St
Snellville, GA 30039-7632

Phone

(770) 940-9599

NPI assigned

Sep 4, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Reddy Urgent Care LLC Urgent Care Clinic/Center · Athens, GA · NPI 1922356179
  Medicare reassignment Care Compare group NPD GA
• Reddy Urgent Care LLC Urgent Care Clinic/Center · Royston, GA · NPI 1982287546
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reddy Urgent Care LLC (7 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2024.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1962237529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 MICHAEL JAY ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397632",
            "telephone_number": "770-940-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 MICHAEL JAY ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397632",
            "telephone_number": "770-940-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MONIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN287178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

• D'Nia Smith
• Erika Smith
• India Smith
• Latifa Smith, RN
• Lorraine A Smith, FNP-C
• Najhae Smith, RBT
• R Warren Smith, LCSW
• Rachel Leigh Smith, AU.D.
• Rebecca Maddox Smith, PHARM.D.
• Sade Smith

All providers in Snellville, GA · Primary Care Nurse Practitioner in Georgia