SHELLEY SMITH AGPC-NP
NPI 1881149102
Nurse Practitioner - Gerontology in Douglasville, GA

Active since August 16, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6001 PROFESSIONAL PKWY STE 2080, DOUGLASVILLE, GA 30134(678) 715-5080 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2024, Aug 16, 2016 (2 updates tracked since 2016).

About Shelley Smith Agpc-np NPPES

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

SHELLEY SMITH AGPC-NP (NPI 1881149102) is an individual gerontology provider in Douglasville, Georgia, licensed in Georgia (RN106235) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carrollton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881149102
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHELLEY SMITHCredential: AGPC-NP
Location Address6001 PROFESSIONAL PKWY STE 2080Douglasville, GA 30134-5632
Mailing Address6001 Professional Pkwy Ste 2080Douglasville, GA 30134-5632 · (678) 715-5080
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 16, 2016
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1881149102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · RN106235
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN106235 (GA)
6001 PROFESSIONAL PKWY STE 2080, Douglasville, GA 30134

Secondary Practice Location 1

Location 1129 Bankhead HwyCarrollton, GA 30117-3425 · Phone (770) 838-8440 · Fax (678) 839-7293

Accepted Insurance

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

Shelley Smith Agpc-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.

PECOS PAC ID9830484831
PECOS Enrollment IDI20160829002659
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 Reassignments

4

Medicare enrollment records show Shelley Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
6095 PROFESSIONAL PKWY, SUITE A-210
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Cardiovascular Disease
129 BANKHEAD HWY
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services112 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier13 claims13 services$2,098.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
6001 PROFESSIONAL PKWY STE 2080
DOUGLASVILLE, GA 30134
Internal Medicine (Interventional Cardiology)
6001 PROFESSIONAL PKWY STE 2080
DOUGLASVILLE, GA 30134
Nurse Practitioner
6001 PROFESSIONAL PKWY STE 2080
DOUGLASVILLE, GA 30134

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 Shelley Smith's NPI number?

The NPI number for Shelley Smith is 1881149102. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Shelley Smith located?

Shelley Smith practices at 6001 Professional Pkwy Ste 2080, Douglasville, GA 30134. The listed phone number is (678) 715-5080.

What is Shelley Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shelley Smith enrolled in Medicare?

Yes. Shelley 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 Shelley Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Smith reassigns Medicare benefits to 4 organizations: Wellstar Medical Group, LLC (Douglasville, GA), West Georgia Cardiology Associates, PC (Carrollton, GA), City Of Hope Medical Group Of Georgia LLC (Newnan, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Shelley Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelley Smith accept?

Health plans from Alliant Health Plans, Inc., CareSource (Common Ground Healthcare), Oscar Health and Oscar Insurance Company list Shelley 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 Shelley Smith was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.