Ms Ellen Gray Smith, FNP - Medicare Nurse Practitioner in Atlanta, GA

Ms Ellen Gray Smith, FNP is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 80 Jesse Hill Jr Dr Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 616-7390.

Ms Ellen Gray Smith is licensed to practice in Georgia (license number RN115453) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790751394.

Contact Information

Ms Ellen Gray Smith, FNP
80 Jesse Hill Jr Dr Ne,
Atlanta, GA 30303-2613
(404) 616-7390
Not Available

Map and Direction




Provider's Profile

Full NameMs Ellen Gray Smith
GenderFemale
SpecialityNurse Practitioner - Family
Location80 Jesse Hill Jr Dr Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790751394
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779625967
  • Enrollment ID: I20100127000035

Medical Identifiers

Medical identifiers for Ms Ellen Gray Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790751394NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN115453 (Georgia)Primary

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. Ms Ellen Gray Smith allows following entities to bill medicare on her behalf.
Entity NamePeachtree Allergy And Asthma Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811035652
PECOS PAC ID: 2264458132
Enrollment ID: O20051020000060
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311

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. Ms Ellen Gray 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 AddressPractice Location Address
Ms Ellen Gray Smith, FNP
4050 Charleston Pl Se,
Smyrna, GA 30080-5820

Ph: (770) 433-8040
Ms Ellen Gray Smith, FNP
80 Jesse Hill Jr Dr Ne,
Atlanta, GA 30303-2613

Ph: (404) 616-7390

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.