AMY D SMITH (NP) – Family Nurse Practitioner, NPI 1962560102

AMY D SMITH (NP) is a healthcare provider. based in Smyrna, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN156014 (GA). The NPI Number for AMY D SMITH (NP) is 1962560102

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
AMY D SMITH (NP)
NPI
1962560102
Phone
(678) 279-4898
Address
2670 Cobb Pkwy SE
Enumeration Date
4 December 2006
Last Update Date
14 September 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6787321520
Graduation Year
2002 (24 years ago)
PAC ID
5991724965
Group Practice PAC ID
8921176231
Professional Enrollment ID
I20051118000404
Address ID
GA302522914MC896XXEXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMY D SMITH (NP)

  • 2670 Cobb Pkwy SE

    Smyrna, GA 300803014

    Phone: (678) 279-4898

    Type: Location

  • Downtown Connector, 2670, Cobb Parkway South, Smyrna, Cobb County, Georgia, 30080, United States

    SMYRNA, GA 300803014

    Phone: (678) 279-4898

    Type: Location

  • 896 HIGHWAY 81 E

    MCDONOUGH, GA 302522914

    Phone: (678) 732-1520

    Type: Location

  • 2020, Glenroy Place Southeast, Smyrna, Cobb County, Georgia, 30080, United States

    SMYRNA, GA 300802522

    Phone: (678) 469-2167

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Abbott Laboratories ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$19
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: 2005-11-18

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
I20051118000404INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes8063$0
99203New patient office or other outpatient visit, 30-44 minutes5656$0
99212Established patient office or other outpatient visit, 10-19 minutes1818$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1313$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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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: 8921176231View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerMN
Nurse PractitionerSC
Nurse PractitionerGA
Family Practice, General PracticeGA
Physician AssistantSC
-GA
General Practice, Family PracticeSC
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is AMY D SMITH (NP) identified in CMS data?
CMS-hosted NPPES data lists AMY D SMITH (NP) with NPI 1962560102.
Can I rely on AMY D SMITH (NP) being an active provider?
As of the registry snapshot, AMY D SMITH (NP) is marked active.
What taxonomy line describes AMY D SMITH (NP)?
For research purposes, treat AMY D SMITH (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is AMY D SMITH (NP) based?
AMY D SMITH (NP) is tied to Smyrna, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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