AUDRIANNA SHAUNTERA SMITH NP
NPI 1124650155
Nurse Practitioner - Adult Health in Greenville, SC

Q: What is Audrianna Smith's NPI number?

The NPI number for Audrianna Smith is 1124650155. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Q: What is Audrianna Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Audrianna Smith was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment

1005 GROVE RD, GREENVILLE, SC 29605(864) 455-6900(864) 255-5619 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Jul 16, 2024, Feb 7, 2020 (3 updates tracked since 2020).

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About Audrianna Shauntera Smith Np NPPES

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

AUDRIANNA SHAUNTERA SMITH NP (NPI 1124650155) is an individual adult health provider in Greenville, South Carolina, licensed in South Carolina (21701) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1124650155

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAUDRIANNA SHAUNTERA SMITHCredential: NP

Location Address1005 GROVE RDGreenville, SC 29605-4630

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(864) 455-6900

Fax(864) 255-5619

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 7, 2020

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1124650155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in SC · 21701✔ Licensed in NC · 5020019

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020019 (NC)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 21701 (SC)

1005 GROVE RD, Greenville, SC 29605

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Secondary Practice Locations 5

Location 1134 Medical Park Rd, Ste 111 - Adult CardiologyMooresville, NC 28117-8526 · Phone (704) 801-9100

Location 21237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212

Location 3100 Medical Park Dr, Ste 210Concord, NC 28025-2948 · Phone (704) 403-6100

Location 4307 Yadkin StAlbemarle, NC 28001-3441 · Phone (980) 323-6180

Location 5101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Audrianna Shauntera Smith Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577990019

PECOS Enrollment IDI20260210000056

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.

Medicare Billing Reassignments

Medicare enrollment records show Audrianna Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group

0.4 mi

Diagnostic Radiology

1210 W FARIS RD
Greenville, SC 29605

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1730850322 (864) 522-1800

Carolinas Physicians Network Inc

46 mi

Cardiovascular Disease

290 N MAIN ST
Rutherfordton, NC 28139

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1225353741 (828) 286-2376

Sutter Valley Medical Foundation

2,148 mi

Multi-Specialty

600 COFFEE RD
Modesto, CA 95355

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1669846986 (209) 524-1211

Stockton Cardiology Medical Group Complete Heart Care Inc

2,163 mi

Cardiovascular Disease

415 E HARDING WAY, SUITE D
Stockton, CA 95204

Reassigned Medicare billing, California enrollment
21 clinicians in this Medicare group

NPI 1477591444 (209) 944-5750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

245 services233 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

111 services100 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services72 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

70 services70 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

GINA ELISE FULTON NP

Nurse Practitioner (Gerontology)