Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIANNA MANTOOTH SMITH FNP-C
NPI 1699604405
Nurse Practitioner - Family in Holly Springs, GA

Q: What is Mianna Smith's NPI number?

The NPI number for Mianna Smith is 1699604405. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Mianna Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mianna Smith was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.

Active since May 18, 2026PECOS Enrolled

684 SIXES RD STE 105, HOLLY SPRINGS, GA 30115(678) 388-5170(678) 388-5171 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2026, May 18, 2026 (2 updates tracked since 2026).

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About Mianna Mantooth Smith Fnp-c NPPES

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

MIANNA MANTOOTH SMITH FNP-C (NPI 1699604405) is an individual family provider in Holly Springs, Georgia, licensed in Georgia (APRN-NP309143) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699604405

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMIANNA MANTOOTH SMITHCredential: FNP-C

Location Address684 SIXES RD STE 105Holly Springs, GA 30115-8720

Mailing Address684 Sixes Rd Ste 105Holly Springs, GA 30115-8720 · (678) 388-5170 · Fax (678) 388-5171

Phone(678) 388-5170

Fax(678) 388-5171

Sole ProprietorNo

Enumeration DateMay 18, 2026

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1699604405 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 · APRN-NP309143

684 SIXES RD STE 105, Holly Springs, GA 30115

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mianna Mantooth Smith Fnp-c 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 30115 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.

Other Providers at the Same Location NPPES 4

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

DR. DANIEL MCMAHON M.D.

Family Medicine

684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115

Cherokee County (678) 388-5170

KENDALL WILLIAMS

Nurse Practitioner (Family)

684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115

Cherokee County (678) 388-5170

DR. MONIKA S YADAV M.D.

Internal Medicine

684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115

Cherokee County (678) 494-9669

OLDE TIME PHARMACY AT SIXES LLC

Pharmacy (Community/Retail Pharmacy)

684 SIXES RD STE 105
HOLLY SPRINGS, GA 30115

Cherokee County (770) 783-0483

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 Mianna Smith's NPI number?

The NPI number for Mianna Smith is 1699604405. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Mianna Smith located?

Mianna Smith practices at 684 Sixes Rd Ste 105, Holly Springs, GA 30115. The listed phone number is (678) 388-5170.

What is Mianna Smith's specialty?

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

Is Mianna Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mianna Smith was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.