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Deactivated NPI 1275749285 Deactivated / Inactive NPI Female Practitioner

Olivia P. Smith

Nurse Practitioner • Jeffersonville, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Olivia Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2007
NPI Deactivation Date January 17, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Olivia Smith was a registered Nurse Practitioner practicing in Jeffersonville, GA. Throughout an active medical career spanning 15 years, Olivia Smith provided care at the practice location at 26 MAIN ST until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

26 Main St

Jeffersonville, GA 310443638

Telephone 4789456522
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jeffersonville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Jeffersonville, GA (3149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN125326

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mitzi Weekley , FNP-C

Nurse Practitioner - Family

NPI 1003326604

Family Nurse Practitioner (Certified)

Juliette Williams

Registered Nurse

NPI 1306475553
Dr. Christopher Brown , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1720867534

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

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Updated Practice Location September 24, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 4787470269)

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Updated Business Mailing Address September 24, 2020

Registered at 4880 DIXON RD, LIZELLA, GA 310524503 (Tel: 4787470269)

NPI Profile Active March 20, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 20, 2008

Registered at 26 MAIN ST, JEFFERSONVILLE, GA 310443638 (Tel: 4789456522)

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Updated Business Mailing Address March 20, 2008

Registered at 26 MAIN ST, JEFFERSONVILLE, GA 310443638 (Tel: 4789456522)

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Provider Name / Credentials Updated March 20, 2008

Recorded as OLIVIA SMITH

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2008

Nurse Practitioner (License #RN125326 in GA)

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Initial NPI Registration & Enumeration May 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275749285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: March 20, 2008
Deactivation Date: January 17, 2022

Mailing Address

26 Main St

Jeffersonville, GA 310443638

Phone: 4789456522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.