NICOLE L SMITH (NPI# 1790393064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790393064 |
| Entity Type | Individual |
| Full Name | NICOLE L SMITH |
| Credential | NP |
| Practice Address |
505 Bingham Dr Mcdonough GA 30253-8050 |
| Mailing Address |
1745 Peachtree St, Nw Atlanta GA 30309 |
| Practice Telephone | 6783340050 |
| Mailing Telephone | 6783340050 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN231080 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1396357356 | Nicole Lynn Smith | Behavior Technician | 1221 Maiden Choice Ln, Baltimore, MD 21229-5414 | 2020-08-20 |
| 1144847807 | Nicole Francine Smith | Speech-Language Pathologist | 1643 Victoria Pointe Cir, Weston, FL 33327-1311 | 2020-06-29 |
| 1558981803 | Nicole Nadine Smith | Nurse Practitioner | 508 Wicklow Ct, Forest Hill, MD 21050-1644 | 2020-04-16 |
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1700448677 | Nicole E Smith | Registered Nurse | 4000 Bienville St Ste G, New Orleans, LA 70119-5163 | 2019-07-01 |
| 1720550809 | Nicole Sharron Smith | Nurse Practitioner | 3724 N 3rd St # 201, Phoenix, AZ 85012-2034 | 2018-12-29 |
| 1083184337 | Nicole Marie Smith | Psychologist | 124 Saddle Loop Unit B, Bigfork, MT 59911-3663 | 2018-11-29 |
| 1952880635 | Nicole Sharay Smith | In Home Supportive Care | 2150 Lincoln Ave, Cincinnati, OH 45224-1828 | 2018-08-13 |
| 1689167496 | Nicole Smith | Registered Nurse | 931 Nw Viewpoint Pl, Hillsboro, OR 97124-3725 | 2018-06-07 |
| Street Address |
505 BINGHAM DR |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1568060846 | Crystaline Joi Prothro | Nurse Practitioner | 4085 Springvale Way, Mcdonough, GA 30252-6872 | 2020-10-09 |
| 1528676046 | Joseph Ndangoh Fongod | Nurse Practitioner | 1289 Heartwood Ave, Mcdonough, GA 30253-3070 | 2020-07-21 |
| 1881211233 | Adelaida L. Mayeta Peart | Nurse Practitioner | 208 Shelton Dr, Mcdonough, GA 30252-3124 | 2020-07-01 |
| 1619593886 | Heather E Cameron | Nurse Practitioner | 50 Kelly Rd Ste 200, Mcdonough, GA 30253-6097 | 2020-06-23 |
| 1023631157 | Catherine A Nkongho | Nurse Practitioner | 437 Concord Cir, Mcdonough, GA 30253-8001 | 2020-05-23 |
| 1336774876 | Alvin O Mcdonald | Nurse Practitioner | 312 Horsehill St, Mcdonough, GA 30253-4666 | 2020-03-05 |
| 1376178798 | Hannah Lynn Mccall | Nurse Practitioner | 437 Stallsworth Rd, Mcdonough, GA 30252-6140 | 2020-03-05 |
| 1376177295 | Sandy Zachery | Nurse Practitioner | 526 Bentley Way, Mcdonough, GA 30253-3762 | 2020-02-29 |
| 1528691490 | Marion Bruno-gaston | Nurse Practitioner | 272 Mckinley Loop, Mcdonough, GA 30253-8728 | 2020-02-19 |
| Find all providers in MCDONOUGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.