Individual provider Active NPI

Amy D Smith, NP

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1962560102
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN156014 Issued in GA
Practice address
896 Highway 81 E
McDonough, GA 30252-2914
Phone
(678) 732-1520
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN156014 GA
Family Nurse Practitioner 363LF0000X RN156014 GA Primary

Addresses

Primary practice location

896 Highway 81 E
McDonough, GA 30252-2914

Mailing address

2020 Glenroy PL SE
Smyrna, GA 30080-2522
Phone (678) 469-2167

Other practice location 1

2670 Cobb Pkwy SE
Smyrna, GA 30080-3014
Phone (678) 279-4898

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051118000404 GA Practitioner - Nurse Practitioner 5991724965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

896 Hwy 81 E
McDonough, GA 30252-2914
Phone (678) 732-1520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Sep 20, 2021 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Oct 1, 2024 Accepting new patients
Take Care Health Georgia, P.C. Family Past Accepting new patients
Rediclinic LLC Past Accepting new patients
Carolyn H. Sigman, MD., PC Past Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

4120 Austell Rd
Austell, GA 30106
Phone (678) 732-1524

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516

896 Highway 81 E
McDonough, GA 30252
Phone (678) 732-1520

695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531

2670 Cobb Pkwy SE
Smyrna, GA 30080
Phone (678) 732-1528

551 N Cherokee Rd
Social Circle, GA 30025
Phone (678) 342-6000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1962560102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GLENROY PL SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802522",
            "telephone_number": "678-469-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 HIGHWAY 81 E",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522914",
            "telephone_number": "678-732-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Cobb Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300803014",
            "country_code": "US",
            "telephone_number": "678-279-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN156014",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN156014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.