WANDA G. SMITH NP
NPI 1912074139
Nurse Practitioner in Baxley, GA

Q: What is Wanda Smith's NPI number?

The NPI number for Wanda Smith is 1912074139. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Wanda Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Smith was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 30, 2006

163 E TOLLISON ST, BAXLEY, GA 31513(912) 367-4122(912) 367-4136 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Wanda G. Smith Np NPPES

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

WANDA G. SMITH NP (NPI 1912074139) is an individual nurse practitioner in Baxley, Georgia, licensed in Georgia (RN038139) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1912074139

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameWANDA G. SMITHCredential: NP

Location Address163 E TOLLISON STBaxley, GA 31513-0120

Mailing AddressPo Box 2070Baxley, GA 31515-2070 · (912) 367-4122 · Fax (912) 367-4136

Phone(912) 367-4122

Fax(912) 367-4136

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateFebruary 3, 2010

✔ NPI 1912074139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN038139

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

163 E TOLLISON ST, Baxley, GA 31513

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Other Identifiers 1

Medicare OSCAR/certification50BBKXPGA

Other Providers at the Same Location NPPES 16

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

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS

Internal Medicine (Pulmonary Disease)