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MS. SARAH ELIZABETH SMITH NP
NPI 1316327224
Nurse Practitioner - Family in Monroe, GA

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
2161 W SPRING ST, MONROE, GA 30655(770) 267-4470 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Sarah Elizabeth Smith Np NPPES

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

MS. SARAH ELIZABETH SMITH NP (NPI 1316327224) is an individual family provider in Monroe, Georgia, licensed in Georgia (RN192483) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316327224
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SARAH ELIZABETH SMITHCredential: NP
Location Address2161 W SPRING STMonroe, GA 30655-3203
Mailing Address2161 W Spring StMonroe, GA 30655-3203 · (770) 267-4470
Phone(770) 267-4470
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 5, 2015
Last NPPES UpdateMarch 28, 2018
✔ NPI 1316327224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN192483
2161 W SPRING ST, Monroe, GA 30655
Open in Google Maps ↗

Other Names 1

Former Name (1)Sarah Qualls

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sarah Elizabeth 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 ID2860705761
PECOS Enrollment IDI20150721002895
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

3

Medicare enrollment records show Sarah Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Athens Primary Care LLC
23 mi
Family Medicine
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 118 clinicians in this Medicare group
NPI 1245746783 (706) 369-5440
Piedmont Medical Care Corporation
35 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840
Piedmont Ed Professionals, LLC
37 mi
Emergency Medicine
1968 PEACHTREE RD NW
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
NPI 1932477429 (404) 605-2800

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 7

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.
123 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services37 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.
32 services27 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services15 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 2

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

USRC MONROE, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2161 W SPRING ST, STE B
MONROE, GA 30655
Walton County (214) 736-2700
TIFFANY WELCH PA
Physician Assistant
2161 W SPRING ST
MONROE, GA 30655
Walton County (770) 267-4470

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 Sarah Smith's NPI number?

The NPI number for Sarah Smith is 1316327224. It was assigned to this individual provider in the NPPES registry on June 5, 2015. The provider is also known as Sarah Qualls.

Where is Sarah Smith located?

Sarah Smith practices at 2161 W Spring St, Monroe, GA 30655. The listed phone number is (770) 267-4470.

What is Sarah Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Smith enrolled in Medicare?

Yes. Sarah Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sarah Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Smith reassigns Medicare benefits to 3 organizations: Piedmont Athens Primary Care LLC (Athens, GA), Piedmont Medical Care Corporation (Atlanta, GA) and Piedmont Ed Professionals, LLC (Atlanta, GA). Each 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 Sarah Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sarah 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.

Is Sarah Smith affiliated with any hospitals?

According to CMS data, Sarah Smith is affiliated with Piedmont Walton Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Smith was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.