MS. ELIZABETH ELLEN SMITH (APRN) – Adult Health Nurse Practitioner, NPI 1790125813

MS. ELIZABETH ELLEN SMITH (APRN) is a healthcare provider. based in Tifton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN188644 (GA). The NPI Number for MS. ELIZABETH ELLEN SMITH (APRN) is 1790125813

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH ELLEN SMITH (APRN)
NPI
1790125813
Phone
(229) 353-3422
Address
907 18TH ST E
Enumeration Date
3 July 2013
Last Update Date
18 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292360831
Graduation Year
2013 (13 years ago)
PAC ID
7911135017
Group Practice PAC ID
8224469085
Professional Enrollment ID
I20140117001123
Address ID
GA316027316VA2209XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MS. ELIZABETH ELLEN SMITH (APRN)

  • 907 18TH ST E

    SUITE 150

    TIFTON, GA 317943643

    Phone: (229) 353-3422

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($25).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140117001123INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17470$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5547$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224469085View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Family Practice, Emergency Medicine, Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. ELIZABETH ELLEN SMITH (APRN)?
MS. ELIZABETH ELLEN SMITH (APRN) — NPI 1790125813 — is the standard way to identify this listing.
Does the file indicate MS. ELIZABETH ELLEN SMITH (APRN) is practicing under active NPI?
Directory data currently reports MS. ELIZABETH ELLEN SMITH (APRN) as active.
What is MS. ELIZABETH ELLEN SMITH (APRN)'s specialty?
The listing groups MS. ELIZABETH ELLEN SMITH (APRN) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MS. ELIZABETH ELLEN SMITH (APRN) on a map?
Expect Tifton, Georgia as a primary anchor for MS. ELIZABETH ELLEN SMITH (APRN) unless the record lists multiple sites.
Why does MS. ELIZABETH ELLEN SMITH (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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