SOPHIA LORAINE SMITH AGACNP
NPI 1366094252
Nurse Practitioner - Acute Care in Gainesville, GA

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Aug 1, 2024, Jul 16, 2024 and 3 more (6 updates tracked since 2019).

About Sophia Loraine Smith Agacnp NPPES

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

SOPHIA LORAINE SMITH AGACNP (NPI 1366094252) is an individual acute care provider in Gainesville, Georgia, licensed in Georgia (RN235925) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Buford.

NPPES Registry Identity

NPI1366094252
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSOPHIA LORAINE SMITHCredential: AGACNP
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 11, 2019
Last NPPES UpdateSeptember 3, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
NPI 1366094252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN235925
743 SPRING ST NE, Gainesville, GA 30501

Secondary Practice Location 1

Location 11949 Manor Oak LnBuford, GA 30519-6511 · Phone (862) 438-6485

Other Identifiers 1

OtherRN235925GA · Acute Care Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sophia Loraine Smith Agacnp 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 ID3173954906
PECOS Enrollment IDI20200512002078
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.

Areas of Expertise CMS Part B claims 2

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.
225 services220 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
143 services143 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

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.

Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501

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 Sophia Smith's NPI number?

The NPI number for Sophia Smith is 1366094252. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Sophia Smith located?

Sophia Smith practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Sophia Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sophia Smith enrolled in Medicare?

Yes. Sophia 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.

Is Sophia Smith affiliated with any hospitals?

According to CMS data, Sophia Smith is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Sophia Smith was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.