Active NPI
Brenda Smith
- Registered Nurse
- Snellville, GA
National Provider Identifier
1962940692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN071509
- Practice address
- 4841 Lenora Church Rd
Snellville, GA 30039-7707 - Phone
- (404) 510-3888
- Fax
- (770) 679-9494
- NPI assigned
- Feb 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN071509 | GA | Primary |
| Administrator Registered Nurse | 163WA2000X | NHA005147 | GA | |
| Community Health Registered Nurse | 163WC1500X | RN071509 | GA | |
| Gerontology Registered Nurse | 163WG0600X | RN071509 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN071509 | GA | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN071509 | GA |
Addresses
Primary practice location
4841 Lenora Church Rd
Snellville, GA 30039-7707
Mailing address
4841 Lenora Church Rd
Snellville, GA 30039-7707
Phone (404) 510-3888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NHA005147 | GA | MD | Administrator Registered Nurse |
| RN071509 | GA | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith & Associates Consulting | Past | Accepting new patients | |
| Sunshine Dreamassisted Living LLC | Past | Accepting new patients |
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.
-
- Skilled Nursing Facility
- Snellville, GA
- NPI 1952849689
-
- Community/Behavioral Health Agency
- Snellville, GA
- NPI 1427304633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1962940692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4841 LENORA CHURCH RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300397707",
"telephone_number": "404-510-3888",
"fax_number": "770-679-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4841 LENORA CHURCH RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300397707",
"telephone_number": "404-510-3888",
"fax_number": "770-679-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN071509",
"primary": true
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "GA",
"license": "NHA005147",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN071509",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "GA",
"license": "RN071509",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN071509",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "GA",
"license": "RN071509",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.