AMIELLE LYDIA SMITH PAC
NPI 1861009375
Physician Assistant in Martinez, GA

Active since September 29, 2020
4106 COLUMBIA RD STE 103, MARTINEZ, GA 30907(706) 863-1440(706) 863-5418 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, Sep 29, 2020 (2 updates tracked since 2020).

About Amielle Lydia Smith Pac NPPES

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

AMIELLE LYDIA SMITH PAC (NPI 1861009375) is an individual physician assistant in Martinez, Georgia, licensed in Georgia (00000) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1861009375
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMIELLE LYDIA SMITHCredential: PAC
Location Address4106 COLUMBIA RD STE 103Martinez, GA 30907-1482
Mailing Address4106 Columbia Rd Ste 103Martinez, GA 30907-1482 · (706) 863-1440 · Fax (706) 863-5418
Fax(706) 863-5418
Sole ProprietorNo
Enumeration DateSeptember 29, 2020
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
NPI 1861009375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 00000
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4106 COLUMBIA RD STE 103, Martinez, GA 30907

Other Names 1

Former Name (1)Amielle Lydia Burch Pac

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pediatrics
4106 COLUMBIA RD STE 103
MARTINEZ, GA 30907

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 Amielle Smith's NPI number?

The NPI number for Amielle Smith is 1861009375. It was assigned to this individual provider in the NPPES registry on September 29, 2020. The provider is also known as Amielle Lydia Burch Pac.

Where is Amielle Smith located?

Amielle Smith practices at 4106 Columbia Rd Ste 103, Martinez, GA 30907. The listed phone number is (706) 863-1440.

What is Amielle Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Amielle Smith accept?

Health plans from Alliant Health Plans, Inc. list Amielle 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.

When was this NPI record last updated?

The NPPES record for Amielle Smith was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.