REBECCA ANNE SMITH CPNP
NPI 1366117657
Nurse Practitioner - Pediatrics in Stockbridge, GA

Q: What is Rebecca Smith's NPI number?

The NPI number for Rebecca Smith is 1366117657. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Q: What is Rebecca Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Smith was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 10, 2021

245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281(770) 389-4543 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Aug 10, 2021 (2 updates tracked since 2021).

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About Rebecca Anne Smith Cpnp NPPES

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

REBECCA ANNE SMITH CPNP (NPI 1366117657) is an individual pediatrics provider in Stockbridge, Georgia, licensed in Georgia (RN175958) and active in the NPI registry since August 2021. She maintains a secondary practice location in Locust Grove.

NPPES Registry Identity

NPI1366117657

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameREBECCA ANNE SMITHCredential: CPNP

Location Address245 COUNTRY CLUB DR BLDG 200AStockbridge, GA 30281-7212

Mailing Address245 Country Club Dr Bldg 200aStockbridge, GA 30281-7212 · (770) 389-4543

Phone(770) 389-4543

Sole ProprietorNo

Enumeration DateAugust 10, 2021

Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1366117657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN175958

245 COUNTRY CLUB DR BLDG 200A, Stockbridge, GA 30281

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Secondary Practice Location 1

Location 11116 Hargrove CtLocust Grove, GA 30248-3434 · Phone (404) 993-8468

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.

DR. PATRICK NEAL PULLIAM M.D.

Pediatrics

245 COUNTRY CLUB DR BLDG 200A
STOCKBRIDGE, GA 30281

Henry County (770) 389-4543

COVENANT CARE PEDIATRICS PC

Pediatrics

245 COUNTRY CLUB DR BLDG 200A
STOCKBRIDGE, GA 30281

Henry County (770) 389-4543

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 Rebecca Smith's NPI number?

The NPI number for Rebecca Smith is 1366117657. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Rebecca Smith located?

Rebecca Smith practices at 245 Country Club Dr Bldg 200A, Stockbridge, GA 30281. The listed phone number is (770) 389-4543.

What is Rebecca Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Rebecca Smith was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.