| Ms Elizabeth Ellen Smith, APRN | |
|
907 18th St E, Suite 290, Tifton, GA 31794-3643 | |
| (229) 353-6546 | |
| (229) 353-6228 |
| Full Name | Ms Elizabeth Ellen Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 907 18th St E, Tifton, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790125813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN188644 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial University Medical Center | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Sgmp Southland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 |
| Entity Name | Southland Behavioral Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619505765 PECOS PAC ID: 8224469085 Enrollment ID: O20200511002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Elizabeth Ellen Smith, APRN 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 353-3422 | Ms Elizabeth Ellen Smith, APRN 907 18th St E, Suite 290, Tifton, GA 31794-3643 Ph: (229) 353-6546 |
Israel Saucedo, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-7050 | |
Mrs. Lisa Dian Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Lee Ave, Tifton, GA 31794 Phone: 229-386-1528 Fax: 229-388-0556 | |
Ana Alicia Gomez Nova, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 Phone: 229-445-3509 | |
Callie Haynes, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1622 Madison Ave, Tifton, GA 31794 Phone: 229-387-8061 | |
Hannah Janleigh Vickers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1493 Kennedy Rd Ste A, Tifton, GA 31794 Phone: 229-391-4130 Fax: 229-391-4138 | |
Rachel Ware Holloway, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 | |
David Ryan Atkins, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 |