NICOLE L SMITH NP
NPI 1790393064
Nurse Practitioner - Family in Stockbridge, GA
About Nicole L Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE L SMITH NP (NPI 1790393064) is an individual family provider in Stockbridge, Georgia, licensed in Georgia (APRN-NP231080) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole L Smith Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Marietta, GA 30064
- Reassigned Medicare billing, Georgia enrollment
- 134 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, Georgia enrollment
- 55 clinicians in this Medicare group
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 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Smith's NPI number?
The NPI number for Nicole Smith is 1790393064. It was assigned to this individual provider in the NPPES registry on July 22, 2020.
Where is Nicole Smith located?
Nicole Smith practices at 921 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (770) 692-5910.
What is Nicole Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Smith enrolled in Medicare?
Yes. Nicole 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.
Which organizations bill Medicare for Nicole Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Smith reassigns Medicare benefits to 3 organizations: The Southeast Permanente Medical Group (Atlanta, GA), Hardy Renew Wellness,llc (Marietta, GA) and Medical Director Services PC (Princess Anne, MD). Each 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 Nicole 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 Nicole Smith was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Nicole L Smith, NP · NPI 1790393064
Family physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since July 22, 2020.
## Identity
- **NPI:** 1790393064 (Entity type: Individual)
- **Enumerated:** July 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP231080 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 921 EAGLES LANDING PKWY, Stockbridge, GA 30281-5011
- **Phone:** (770) 692-5910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Hardy Renew Wellness,llc (NPI 1952914368, Marietta, GA); Medical Director Services PC (NPI 1871955807, Princess Anne, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790393064) · Data from the CMS NPPES public registry.