Rachel Stallings Smith, FNP C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F0605178 Issued in GA

Practice address

545 Venture CT
Monticello, GA 31064-7788

Phone

(706) 468-7002

Fax

(877) 870-3481

NPI assigned

Dec 12, 2006

Last updated

May 16, 2019By the provider in NPPES

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

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Family Medical and Urgent Care Clinic of McDonough, LLCGroup PAC ID 7113054131, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAJFBD
• Direct secure messaging: rachel.smith@familyhc.eclinicaldirectplus.com

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.

• Family Medical and Urgent Care Clinic of McDonough, LLC

  dba Family Health Clinic

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1043440530
  Medicare reassignment Care Compare group NPD
• Family Medical Associates, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1225587280
  NPD
• Donna M. Haney M.D., P.C.

  dba Pike Family Medicine

  • Family Medicine Physician
  • Zebulon, GA
  • NPI 1801078035
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1982764437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR",
            "address_2": "SUITE 130",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-957-3935",
            "fax_number": "770-954-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VENTURE CT",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310647788",
            "telephone_number": "706-468-7002",
            "fax_number": "877-870-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "STALLINGS",
        "name_prefix": "Mrs.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F0605178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14247677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003214562A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qcpi-Villagemd, PC
• River Edge Behavioral Health Center
• Stacey Rowe Schuessler, RPH
• Shannon T. Barton MD LLC
• Mary Catherine Sikes, MED, ATC, LAT
• Sober Notes Addiction Counseling LLC
• Gurbax Soni
• Mary Elizabeth Summitt, DC
• Robert Vandevoort
• Venture Medical Associates LLC

• Nurse Practitioner in Monticello, GA
• Providers in Monticello, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.