Shelley Smith, AGPC-NP - Medicare Nurse Practitioner in Douglasville, GA

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Shelley Smith, AGPC-NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Douglasville, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Georgia Cardiology Associates, Pc and her current practice location is 6001 Professional Pkwy Ste 2080, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 715-5080.

Shelley Smith is licensed to practice in Georgia (license number RN106235) 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 1881149102.

Contact Information

Shelley Smith, AGPC-NP
6001 Professional Pkwy Ste 2080,
Douglasville, GA 30134-5632
(678) 715-5080
Not Available

Map and Direction




Provider's Profile

Full NameShelley Smith
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location6001 Professional Pkwy Ste 2080, Douglasville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelley Smith graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1881149102
  • Provider Enumeration Date: 08/16/2016
  • Last Update Date: 07/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830484831
  • Enrollment ID: I20160829002659

Medical Identifiers

Medical identifiers for Shelley Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881149102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN106235 (Georgia)Primary
363LA2200XNurse Practitioner - Adult Health RN106235 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tanner Medical Center - CarrolltonCarrollton, GAHospital
Tanner Medical Center Villa RicaVilla rica, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Georgia Cardiology Associates, Pc43857733737

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. Shelley Smith allows following entities to bill medicare on her behalf.
Entity NameLifetime Family Medicine,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053509216
PECOS PAC ID: 3577646736
Enrollment ID: O20080211000608
Entity NameWest Georgia Cardiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932421187
PECOS PAC ID: 4385773373
Enrollment ID: O20100601000572
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292

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. Shelley 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
Shelley Smith, AGPC-NP
6001 Professional Pkwy Ste 2080,
Douglasville, GA 30134-5632

Ph: (678) 715-5080		Shelley Smith, AGPC-NP
6001 Professional Pkwy Ste 2080,
Douglasville, GA 30134-5632

Ph: (678) 715-5080

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).

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