Individual provider Active NPI

Antwenette Charae Smith, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1982055653
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP216380 Issued in GA
Practice address
635 Stephenson Ave
Savannah, GA 31405-5970
Phone
(912) 352-2921
Fax
(912) 352-1038
NPI assigned
Jun 23, 2016
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP216380 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP216380 GA Primary
Registered Nurse 163W00000X RN216380 GA

Addresses

Primary practice location

635 Stephenson Ave
Savannah, GA 31405-5970

Mailing address

11 Melody Dr
Pooler, GA 31322-3644
Phone (912) 272-1617

Other practice location 1

106 E Broad St
Savannah, GA 31401-2917
Phone (912) 454-8070

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
I20201001001909 GA Practitioner - Nurse Practitioner 6002235538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

6 Holmes CT
Suite 100
Pooler, GA 31322-4801
Phone (912) 254-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RN216380GAMDRegistered Nurse
APRN-NP216380GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince Aug 27, 2020 Accepting new patients
Psychiatric Consultants CurrentSince Nov 24, 2025 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care, Inc CurrentSince Aug 27, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Curtis V. Cooper Primary Health Care Inc. Current Accepting new patients
Personal Recovery Network LLC CurrentSince Nov 24, 2025 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc. Past Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Past Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

6 Holmes Ct
Ste 100
Pooler, GA 31322
Phone (912) 254-4401

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

3219 College St
Savannah, GA 31404
Phone (912) 358-3439

635 Stephenson Ave
Savannah, GA 31405
Phone (912) 352-2921

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1982055653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MELODY DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223644",
            "telephone_number": "912-272-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055970",
            "telephone_number": "912-352-2921",
            "fax_number": "912-352-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314012917",
            "country_code": "US",
            "telephone_number": "912-454-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANTWENETTE",
        "middle_name": "CHARAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP216380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP216380",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN216380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.