ASHLEY SMALLWOOD CPNP
NPI 1417415738
Nurse Practitioner - Pediatrics in Stone Mountain, GA
About Ashley Smallwood Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY SMALLWOOD CPNP (NPI 1417415738) is an individual pediatrics provider in Stone Mountain, Georgia, licensed in Georgia (197976) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ashley Smallwood Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ashley Smallwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONE MOUNTAIN, GA 30083
STONE MOUNTAIN, GA 30083
STONE MOUNTAIN, GA 30083
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 Ashley Smallwood's NPI number?
The NPI number for Ashley Smallwood is 1417415738. It was assigned to this individual provider in the NPPES registry on March 5, 2019.
Where is Ashley Smallwood located?
Ashley Smallwood practices at 5582 Memorial Dr, Stone Mountain, GA 30083. The listed phone number is (404) 564-6703.
What is Ashley Smallwood's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ashley Smallwood enrolled in Medicare?
Yes. Ashley Smallwood is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ashley Smallwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Smallwood reassigns Medicare benefits to Tanner Medical Group Inc (Carrollton, GA). The 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 Ashley Smallwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley Smallwood accept?
Health plans from Alliant Health Plans, Inc. and Oscar Health list Ashley Smallwood 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.
When was this NPI record last updated?
The NPPES record for Ashley Smallwood was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
# Ashley Smallwood, CPNP · NPI 1417415738
Pediatrics physician in Stone Mountain, Georgia. Individual provider, active in the CMS NPPES registry since March 5, 2019.
## Identity
- **NPI:** 1417415738 (Entity type: Individual)
- **Enumerated:** March 5, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 197976 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5582 MEMORIAL DR, Stone Mountain, GA 30083-3215
- **Phone:** (404) 564-6703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tanner Medical Group Inc (NPI 1396979787, Carrollton, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417415738) · Data from the CMS NPPES public registry.