MRS. SHYANNE BRENDA SMITH FNP
NPI 1780448738
Nurse Practitioner - Family in Austell, GA

Q: What is Shyanne Smith's NPI number?

The NPI number for Shyanne Smith is 1780448738. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Q: What is Shyanne 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 Shyanne Smith was last updated on February 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 09, 2024PECOS Enrolled

1810 MULKEY RD STE 200, AUSTELL, GA 30106(678) 402-6970 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Shyanne Brenda Smith Fnp NPPES

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

MRS. SHYANNE BRENDA SMITH FNP (NPI 1780448738) is an individual family provider in Austell, Georgia, licensed in Georgia (RN187612) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780448738

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHYANNE BRENDA SMITHCredential: FNP

Location Address1810 MULKEY RD STE 200Austell, GA 30106-1150

Mailing Address141 Edgewater Dr.Temple, GA 30179 · (678) 644-7503

Phone(678) 402-6970

Sole ProprietorNo

Enumeration DateFebruary 9, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1780448738 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 · RN187612

1810 MULKEY RD STE 200, Austell, GA 30106

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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)

Mrs. Shyanne Brenda Smith Fnp 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 30106 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.

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Other Providers at the Same Location NPPES 5

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

RHONDA RANDALL CNP

Nurse Practitioner (Primary Care)