| Larissa Smith, | |
|
2195 Pace St, Covington, GA 30014-6656 | |
| (470) 444-1005 | |
| Not Available |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619559150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN231604 (Georgia) | Primary |
| Entity Name | Vpa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164149365 PECOS PAC ID: 9234041948 Enrollment ID: O20210722000258 |
| Entity Name | Care at Home Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699552836 PECOS PAC ID: 5092164533 Enrollment ID: O20231222000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Smith, 922 Highway 81 E Unit 410, Mcdonough, GA 30252-2978 Ph: Not Available | Larissa Smith, 2195 Pace St, Covington, GA 30014-6656 Ph: (470) 444-1005 |
Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Providence Pkwy, Covington, GA 30014 Phone: 770-462-9202 |
Mrs. Fredniki Ladoris Sanders, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4192 Salem Rd, Covington, GA 30016 Phone: 770-788-2026 |
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: May Accept 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 |