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CHANTALETTE TYSHERIA SMITH MSN, APRN, FNP-C
NPI 1962049494
Nurse Practitioner - Psychiatric/Mental Health in Kennesaw, GA

Active since December 03, 2019PECOS Enrolled
3440 BLUE SPRINGS RD NW STE 503, KENNESAW, GA 30144(404) 857-9575 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2020, Dec 3, 2019 (2 updates tracked since 2019).

About Chantalette Tysheria Smith Msn, Aprn, Fnp-c NPPES

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

CHANTALETTE TYSHERIA SMITH MSN, APRN, FNP-C (NPI 1962049494) is an individual psychiatric/mental health provider in Kennesaw, Georgia, licensed in Georgia (RN248645) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962049494
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHANTALETTE TYSHERIA SMITHCredential: MSN, APRN, FNP-C
Location Address3440 BLUE SPRINGS RD NW STE 503Kennesaw, GA 30144-1038
Mailing AddressPo Box 447Ellabell, GA 31308-0447 · (912) 414-9923
Phone(404) 857-9575
Sole ProprietorNo
Enumeration DateDecember 3, 2019
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1962049494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN248645
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN248645 (GA)
3440 BLUE SPRINGS RD NW STE 503, Kennesaw, GA 30144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chantalette Tysheria Smith Msn, Aprn, Fnp-c 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.

Medicare Billing Reassignments

4

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

Theramed Health, LLC
Same address
Family Medicine
3440 BLUE SPRINGS RD NW STE 503
Kennesaw, GA 30144
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group
NPI 1487056586 (404) 857-9575
Christopher Dennis MD PLLC
28 mi
Psychiatry
11340 LAKEFIELD DR STE 200
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group
NPI 1588090229 (800) 275-3243
Personal Recovery Network LLC
44 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100
Signify Health Medical Associates, PLLC
708 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 4

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
106 services106 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
70 services64 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
26 services26 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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.

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.

ESSENTIAL CARE LLC
Home Health
3440 BLUE SPRINGS RD NW STE 503
KENNESAW, GA 30144
Cobb County (470) 894-3311
THERAMED HEALTH, LLC
Family Medicine
3440 BLUE SPRINGS RD NW STE 503
KENNESAW, GA 30144
Cobb County (404) 857-9575

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 Chantalette Smith's NPI number?

The NPI number for Chantalette Smith is 1962049494. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Chantalette Smith located?

Chantalette Smith practices at 3440 Blue Springs Rd NW Ste 503, Kennesaw, GA 30144. The listed phone number is (404) 857-9575.

What is Chantalette Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chantalette Smith enrolled in Medicare?

Yes. Chantalette Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chantalette Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chantalette Smith reassigns Medicare benefits to 4 organizations: Theramed Health, LLC (Kennesaw, GA), Christopher Dennis MD PLLC (Johns Creek, GA), Personal Recovery Network LLC (Stockbridge, 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 Chantalette Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chantalette Smith accept?

Health plans from CareSource (Common Ground Healthcare) list Chantalette 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 Chantalette Smith was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.