Nicole L Smith, NP in Stockbridge, GA - Medicare Nurse Practitioner

Nicole L Smith, NP is a medicare enrolled "Nurse Practitioner - Family" in Stockbridge, Georgia. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 921 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 692-5910.

Nicole L Smith is licensed to practice in Georgia (license number APRN-NP231080) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790393064.

Contact Information

	Nicole L Smith, NP
	921 Eagles Landing Pkwy, Stockbridge, GA 30281-5011
	(770) 692-5910
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole L Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	921 Eagles Landing Pkwy, Stockbridge, 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.

Medical Education and Training:

Nicole L Smith graduated from nursing school in 2021

NPI Data:

NPI Number: 1790393064
Provider Enumeration Date: 07/22/2020
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 0345634119
Enrollment ID: I20220222001429

Medical Identifiers

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

Identifier	Type	State	Issuer
1790393064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN-NP231080 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstreet Of Georgia Pc	7517126279	440

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. Nicole L Smith allows following entities to bill medicare on her behalf.

Entity Name	Wellstreet Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321

Entity Name	Hardy Renew Wellness,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534

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. Nicole L 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
Nicole L Smith, NP 921 Eagles Landing Pkwy, Stockbridge, GA 30281-5011 Ph: (770) 692-5910	Nicole L Smith, NP 921 Eagles Landing Pkwy, Stockbridge, GA 30281-5011 Ph: (770) 692-5910

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953

Nicole L Smith, NP - Medicare Nurse Practitioner in Stockbridge, GA