Larissa Smith, in Covington, GA - Medicare Nurse Practitioner

Larissa Smith, is a medicare enrolled "Nurse Practitioner - Family" in Covington, Georgia. Her current practice location is 2195 Pace St, Covington, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 444-1005.

Larissa Smith is licensed to practice in Georgia (license number RN231604) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619559150.

Contact Information

	Larissa Smith,
	2195 Pace St, Covington, GA 30014-6656
	(470) 444-1005
	Not Available

Map and Direction

Provider's Profile

Full Name	Larissa Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2195 Pace St, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619559150
Provider Enumeration Date: 04/23/2021
Last Update Date: 06/02/2025

Medicare PECOS Information:

PECOS PAC ID: 6507376993
Enrollment ID: I20250605002500

Medical Identifiers

Medical identifiers for Larissa Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619559150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN231604 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larissa Smith allows following entities to bill medicare on her behalf.

Entity Name	Pophealthcare Medical Services Of Ga, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407340292 PECOS PAC ID: 3173053626 Enrollment ID: O20250212003329

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larissa Smith, 922 Highway 81 E Unit 410, Mcdonough, GA 30252-2978 Ph: () -	Larissa Smith, 2195 Pace St, Covington, GA 30014-6656 Ph: (470) 444-1005

Reviews and Comments

Nurse Practitioner Nurses in Covington, GA

Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Providence Pkwy, Covington, GA 30014 Phone: 770-462-9202
Mrs. Melanie Marie Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3792 Kraddle Creek Dr, Covington, GA 30014 Phone: 770-490-3350
Nicole Francis-freckleton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13110 Greywolf Ln, Covington, GA 30014 Phone: 754-551-4480
Shelleyann Beaubrun, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4136 Newton Dr Ne, Covington, GA 30014 Phone: 770-569-3205
Samantha Joi Tait, DNP, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4152 Baker St Ne, Covington, GA 30014 Phone: 770-788-1077
Mrs. Hannah Addis, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014 Phone: 770-728-1901 Fax: 770-728-1907
Dr. Ogochukwu Ojiaku, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Avonlea Dr, Covington, GA 30016 Phone: 404-457-3743

Larissa Smith, - Medicare Nurse Practitioner in Covington, GA