ATLANTA WOUND CARE SPECIALIST, LLC
NPI 1124837000
Nurse Practitioner in Dacula, GA

Active since January 04, 2025
1055 FAIRVIEW CLUB CIR, DACULA, GA 30019(678) 270-7378 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Jan 4, 2025 (2 updates tracked since 2025).

About Atlanta Wound Care Specialist, Llc NPPES

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

ATLANTA WOUND CARE SPECIALIST, LLC (NPI 1124837000), doing business as Atlanta Wound Care, is a healthcare organization registered as a nurse practitioner in Dacula, Georgia and active in the NPI registry since January 2025. The organization lists Sherry M Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124837000
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameATLANTA WOUND CARE SPECIALIST, LLC
Location Address1055 FAIRVIEW CLUB CIRDacula, GA 30019-3192
Mailing Address1055 Fairview Club CirDacula, GA 30019-3192 · (678) 270-7378
Organization SubpartNo
Authorized OfficialSherry M SmithAdministrator · (678) 270-7378
Enumeration DateJanuary 4, 2025
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1124837000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
1055 FAIRVIEW CLUB CIR, Dacula, GA 30019

Other Names 1

Doing Business AsAtlanta Wound Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta Wound Care Specialist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Atlanta Wound Care Specialist, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1053536177
916 LOGANVILLE HWY 350
Bethlehem, GA 30620
(770) 791-0167
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1780287508
905 CREEKSIDE WAY
Monroe, GA 30656
(678) 551-9734
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1164013710
3000 CUMBERLAND CLUB DR
Atlanta, GA 30339
(706) 372-1722
✔ PECOS34 mi

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

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 Atlanta Wound Care Specialist, LLC's NPI number?

The NPI number for Atlanta Wound Care Specialist, LLC is 1124837000. It was assigned to this organization in the NPPES registry on January 4, 2025. The provider is doing business as Atlanta Wound Care.

Where is Atlanta Wound Care Specialist, LLC located?

Atlanta Wound Care Specialist, LLC is located at 1055 Fairview Club Cir, Dacula, GA 30019. The listed phone number is (678) 270-7378.

What is Atlanta Wound Care Specialist, LLC's specialty?

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

Is Atlanta Wound Care Specialist, LLC enrolled in Medicare?

Yes. Atlanta Wound Care Specialist, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Wound Care Specialist, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Atlanta Wound Care Specialist, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlanta Wound Care Specialist, LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.