Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALICE KATRINA SMITH CNP
NPI 1104746536
Nurse Practitioner in Atlanta, GA

Active since July 16, 2026PECOS Enrolled
1100 JOHNSON FERRY RD NE, BLDG 2, STE 180, ATLANTA, GA 30342(404) 250-6691(404) 250-8847 Get Directions Write a Review

NPPES record last updated: September 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2026, Jul 16, 2026 (2 updates tracked since 2026).

About Alice Katrina Smith Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE KATRINA SMITH CNP (NPI 1104746536) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (APRN-NP309443) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104746536
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICE KATRINA SMITHCredential: CNP
Location Address1100 JOHNSON FERRY RD NE, BLDG 2, STE 180Atlanta, GA 30342-1709
Mailing Address1100 Johnson Ferry Rd Ne, Bldg 2, Ste 180Atlanta, GA 30342-1709 · (404) 250-6691 · Fax (404) 250-8847
Fax(404) 250-8847
Sole ProprietorNo
Enumeration DateJuly 16, 2026
Last NPPES UpdateSeptember 5, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2026
✔ NPI 1104746536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP309443
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1100 JOHNSON FERRY RD NE, Atlanta, GA 30342

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Katrina Smith Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1100 JOHNSON FERRY RD NE, BLDG 2, STE 180
ATLANTA, GA 30342
Obstetrics & Gynecology
1100 JOHNSON FERRY RD NE, SUITE 800
SANDY SPRINGS, GA 30342
Ophthalmology
1100 JOHNSON FERRY RD NE, SUITE 593
ATLANTA, GA 30342
Psychologist (Clinical)
1100 JOHNSON FERRY RD NE, SUITE 230
ATLANTA, GA 30342
Pharmacist
1100 JOHNSON FERRY RD NE, SUITE 107
SANDY SPRINGS, GA 30342
Ophthalmology
1100 JOHNSON FERRY RD NE, SUITE 593
ATLANTA, GA 30342
Internal Medicine
1100 JOHNSON FERRY RD NE, SUITE 460 BLDG 2
ATLANTA, GA 30342
Internal Medicine (Hematology & Oncology)
1100 JOHNSON FERRY RD NE, SUITE 600
ATLANTA, GA 30342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Smith's NPI number?

The NPI number for Alice Smith is 1104746536. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Alice Smith located?

Alice Smith practices at 1100 Johnson Ferry Rd NE Bldg 2, Ste 180, Atlanta, GA 30342. The listed phone number is (404) 250-6691.

What is Alice Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alice Smith enrolled in Medicare?

Yes. Alice Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alice Smith was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.