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ANGELA SMITH
NPI 1407462864
Counselor - Mental Health in Douglasville, GA

Active since September 21, 2020PECOS Enrolled
3239 BLACKLEY OLD RD, DOUGLASVILLE, GA 30135(404) 720-4681 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Smith NPPES

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

ANGELA SMITH (NPI 1407462864) is an individual mental health provider in Douglasville, Georgia, licensed in Georgia (LPC008613) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407462864
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA SMITH
Location Address3239 BLACKLEY OLD RDDouglasville, GA 30135-8119
Mailing Address3239 Blackley Old RdDouglasville, GA 30135-8119 · (404) 720-4681
Phone(404) 720-4681
Sole ProprietorYes
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1407462864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC008613
3239 BLACKLEY OLD RD, Douglasville, GA 30135
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela 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 Angela Smith's NPI number?

The NPI number for Angela Smith is 1407462864. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Angela Smith located?

Angela Smith practices at 3239 Blackley Old Rd, Douglasville, GA 30135. The listed phone number is (404) 720-4681.

What is Angela Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Angela Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Angela Smith was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.