MONA DENNISON SMITH NURSE PRACTITIONER
NPI 1669904884
Nurse Practitioner - Acute Care in Statesboro, GA

Q: What is Mona Smith's NPI number?

The NPI number for Mona Smith is 1669904884. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Mona Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mona Smith was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

1499 FAIR RD, STATESBORO, GA 30458(912) 486-1433(912) 871-2261 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Aug 13, 2019, Mar 28, 2017 (3 updates tracked since 2017).

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About Mona Dennison Smith Nurse Practitioner NPPES

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

MONA DENNISON SMITH NURSE PRACTITIONER (NPI 1669904884) is an individual acute care provider in Statesboro, Georgia, licensed in Georgia (RN239737) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669904884

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMONA DENNISON SMITHCredential: NURSE PRACTITIONER

Location Address1499 FAIR RDStatesboro, GA 30458-1683

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877

Phone(912) 486-1433

Fax(912) 871-2261

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 28, 2017

Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1669904884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN239737

Also ListedRegistered NurseTaxonomy 163W00000X · License RN239737 (GA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN239737 (GA)

1499 FAIR RD, Statesboro, GA 30458

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Secondary Practice Locations 2

Location 11335 Ga Highway 57Townsend, GA 31331-8130 · Phone (912) 832-5473 ext. 112 · Fax (912) 832-5509

Location 26 Lester RdStatesboro, GA 30458-4786 · Phone (912) 681-8999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Mona Dennison Smith Nurse Practitioner 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 ID4880005255

PECOS Enrollment IDI20201117000311

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 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

138 services134 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

66 services65 patients

Hospital Affiliations CMS Care Compare 4

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

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110075

Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County

Emergency services

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110128

LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County

Emergency services

Evans Memorial Hospital

Acute Care Hospitals · Claxton, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110142

Location200 N River StreetClaxton, GA 30417 · Evans County

Emergency services

Candler County Hospital

Critical Access Hospitals · Metter, GA

OwnershipProprietary

CMS Certification Number111334

Location400 Cedar StreetMetter, GA 30439 · Candler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 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.

Other Providers at the Same Location NPPES 20

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

CATHERINE A LANDRY-ARSENEAULT CRNA

Nurse Anesthetist, Certified Registered

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1973

EAST GEORGIA RADIOLOGY LLC

Radiology (Diagnostic Radiology)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1339

ALPHA IMAGING, INC.

Radiology (Diagnostic Radiology)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1000

NGOC NU BANH FNP-BC

Nurse Practitioner (Family)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (800) 301-6254

GEORGIA ANESTHESIA AND PAIN MANAGMENT

Anesthesiology

1499 FAIR RD, SUITE 101
STATESBORO, GA 30458

Bulloch County (912) 486-1121

DWAYNE THOMAS GARD MD

Hospitalist

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1433

IJEOMA JACINTA NNANABU MD

Hospitalist

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1431

DR. COLIN A. DODDS M.D

Radiology (Diagnostic Radiology)

1499 FAIR RD
STATESBORO, GA 30458

Bulloch County (912) 486-1633

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 Mona Smith's NPI number?

The NPI number for Mona Smith is 1669904884. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Mona Smith located?

Mona Smith practices at 1499 Fair Rd, Statesboro, GA 30458. The listed phone number is (912) 486-1433.

What is Mona Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mona Smith enrolled in Medicare?

Yes. Mona Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mona Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mona Smith 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.

Is Mona Smith affiliated with any hospitals?

According to CMS data, Mona Smith is affiliated with East Georgia Regional Medical Center, Memorial Health Meadows Hospital, Evans Memorial Hospital and Candler County Hospital.

When was this NPI record last updated?

The NPPES record for Mona Smith was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.