1. Home
  2. Directory
  3. Georgia
  4. Covington
  5. Nurse Practitioner
  6. NPI Profile

LARISSA SMITH
NPI 1619559150
Nurse Practitioner - Family in Covington, GA

Active since April 23, 2021PECOS Enrolled
2195 PACE ST, COVINGTON, GA 30014(470) 444-1005 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Apr 23, 2021 (2 updates tracked since 2021).

About Larissa Smith NPPES

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

LARISSA SMITH (NPI 1619559150) is an individual family provider in Covington, Georgia, licensed in Georgia (RN231604) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619559150
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLARISSA SMITH
Location Address2195 PACE STCovington, GA 30014-6656
Mailing Address922 Highway 81 E Unit 410Mcdonough, GA 30252-2978
Phone(470) 444-1005
Sole ProprietorNo
Enumeration DateApril 23, 2021
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1619559150 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 · RN231604
2195 PACE ST, Covington, GA 30014
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Larissa Smith's NPI number?

The NPI number for Larissa Smith is 1619559150. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Larissa Smith located?

Larissa Smith practices at 2195 Pace St, Covington, GA 30014. The listed phone number is (470) 444-1005.

What is Larissa Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Larissa Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Larissa Smith was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.