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

ROSE GAYLE-SMITH N.P.
NPI 1679962534
Nurse Practitioner in Conyers, GA

Active since January 15, 2015PECOS Enrolled
2081 MILLSTONE DR SW, CONYERS, GA 30094(404) 272-4405 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rose Gayle-smith N.p. NPPES

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

ROSE GAYLE-SMITH N.P. (NPI 1679962534) is an individual nurse practitioner in Conyers, Georgia, licensed in Georgia (RN092585) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679962534
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROSE GAYLE-SMITHCredential: N.P.
Location Address2081 MILLSTONE DR SWConyers, GA 30094-3981
Mailing Address2081 Millstone Dr SwConyers, GA 30094-3981 · (404) 272-4405
Phone(404) 272-4405
Sole ProprietorNo
Enumeration DateJanuary 15, 2015
✔ NPI 1679962534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN092585
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2081 MILLSTONE DR SW, Conyers, GA 30094
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Gayle-smith N.p. 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.

Medicare Billing Reassignment

Medicare enrollment records show Rose Gayle-smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Post Acute Care Leaders LLC
56 mi
Geriatric Medicine
156 PINE KNOLL DR
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1033689336 (678) 593-3332

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 30094 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 Rose Gayle-smith's NPI number?

The NPI number for Rose Gayle-smith is 1679962534. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Rose Gayle-smith located?

Rose Gayle-smith practices at 2081 Millstone Dr SW, Conyers, GA 30094. The listed phone number is (404) 272-4405.

What is Rose Gayle-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rose Gayle-smith enrolled in Medicare?

Yes. Rose Gayle-smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rose Gayle-smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rose Gayle-smith reassigns Medicare benefits to Post Acute Care Leaders LLC (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 Rose Gayle-smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rose Gayle-smith was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.