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IDA SMITH NP
NPI 1336525138
Nurse Practitioner - Family in Fayetteville, GA

Active since August 04, 2015
1260 HIGHWAY 54 W STE 101, FAYETTEVILLE, GA 30214(770) 719-4620(770) 719-4622 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ida Smith Np NPPES

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

IDA SMITH NP (NPI 1336525138) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN128300) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1336525138
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIDA SMITHCredential: NP
Location Address1260 HIGHWAY 54 W STE 101Fayetteville, GA 30214-4525
Mailing Address2375 Lago DrJonesboro, GA 30236-5251 · (770) 478-4048
Phone(770) 719-4620
Fax(770) 719-4622
Sole ProprietorYes
Enumeration DateAugust 4, 2015
✔ NPI 1336525138 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 · RN128300
1260 HIGHWAY 54 W STE 101, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES

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

FAYETTE CARE CLINIC
Family Medicine
1260 HIGHWAY 54 W STE 101
FAYETTEVILLE, GA 30214
Fayette County (770) 719-4620

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 Ida Smith's NPI number?

The NPI number for Ida Smith is 1336525138. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Ida Smith located?

Ida Smith practices at 1260 Highway 54 W Ste 101, Fayetteville, GA 30214. The listed phone number is (770) 719-4620.

What is Ida Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Ida Smith was last updated on August 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.