GLORIA IRIS SMITH BSCN, MN, NP-C
NPI 1578035457
Nurse Practitioner - Family in Macon, GA

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
97.61/100
CMS Quality Rating
310 HOSPITAL DR STE 210, MACON, GA 31217(478) 787-6255 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2021, Dec 18, 2018 (2 updates tracked since 2018).

About Gloria Iris Smith Bscn, Mn, Np-c NPPES

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

GLORIA IRIS SMITH BSCN, MN, NP-C (NPI 1578035457) is an individual family provider in Macon, Georgia, licensed in Georgia (RN281687) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Coliseum Medical Centers, Llc, Dba, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578035457
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGLORIA IRIS SMITHCredential: BSCN, MN, NP-C
Location Address310 HOSPITAL DR STE 210Macon, GA 31217-8026
Mailing Address310 Hospital Dr Ste 210Macon, GA 31217-8026 · (478) 787-6255
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 17, 2018
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
NPI 1578035457 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 · RN281687
310 HOSPITAL DR STE 210, Macon, GA 31217

Accepted Insurance

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

Gloria Iris Smith Bscn, Mn, Np-c 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 ID6305189960
PECOS Enrollment IDI20190522001735
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services69 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
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.
21 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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.

97.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
310 HOSPITAL DR STE 210
MACON, GA 31217
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
310 HOSPITAL DR STE 210
MACON, GA 31217
Nurse Practitioner (Family)
310 HOSPITAL DR STE 210
MACON, GA 31217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578035457, enumerated as an "individual" on December 17, 2018.

The provider is located at 310 HOSPITAL DR STE 210 MACON, GA 31217 and the phone number is (478) 787-6255.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

Gloria Smith is affiliated with: COLISEUM MEDICAL CENTERS, LLC, DBA.