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SHEVONESE SMITH
NPI 1275492019
Student in an Organized Health Care Education/Training Program in Loganville, GA

Active since January 19, 2026PECOS Enrolled
4254 POTOMAC WALK CT, LOGANVILLE, GA 30052(404) 932-1056 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shevonese Smith NPPES

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

SHEVONESE SMITH (NPI 1275492019) is an individual student in an organized health care education/training program in Loganville, Georgia and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275492019
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHEVONESE SMITH
Location Address4254 POTOMAC WALK CTLoganville, GA 30052-8847
Mailing Address4254 Potomac Walk CtLoganville, GA 30052-8847
Phone(404) 932-1056
Sole ProprietorYes
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 18, 2026
✔ NPI 1275492019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4254 POTOMAC WALK CT, Loganville, GA 30052
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shevonese Smith 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.

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 Shevonese Smith's NPI number?

The NPI number for Shevonese Smith is 1275492019. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Shevonese Smith located?

Shevonese Smith practices at 4254 Potomac Walk Ct, Loganville, GA 30052. The listed phone number is (404) 932-1056.

What is Shevonese Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shevonese Smith enrolled in Medicare?

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

What insurance does Shevonese Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shevonese Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shevonese Smith was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.