Shelley A Smith (NPI# 1861410458, PAC ID# 1355435918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861410458 |
| PAC ID by PECOS | 1355435918 |
| Professional Enrollment ID | I20070913000653 |
| Full Name | Shelley A Smith |
| Organization Legal Name | FAMILY HEALTH CLINIC OF GRENADA |
| Address |
1117 Sunset Dr Suite 104 Grenada MS 38901-4080 |
| Phone Number | 6622260110 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234107517 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
| Address | Phone | Organization |
|---|---|---|
| 1117 Sunset Dr, Suite 104, Grenada, MS 38901-4080 | 6622260110 | FAMILY HEALTH CLINIC OF GRENADA |
| Organization Legal Name | FAMILY HEALTH CLINIC OF GRENADA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Goss | Nurse Practitioner | Family Health Clinic of Grenada | 1117 Sunset Dr, Suite 104, Grenada, MS 38901-4080 |
| Street Address |
1117 SUNSET DR SUITE 104 |
| City | GRENADA |
| State | MS |
| Zip | 38901-4080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph F Roberts | Internal Medicine | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 | |
| James Stanford | Family Medicine | Stanford Medical Inc | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 |
| Jessica H Alldread | Nurse Practitioner | Stanford Medical Inc | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 |
| Jennifer Goss | Nurse Practitioner | Family Health Clinic of Grenada | 1117 Sunset Dr, Suite 104, Grenada, MS 38901-4080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Pegg | Optometry | 20-20 Eyecare of Grenada Pa | 600 Old Hickory Rd, Grenada, MS 38901-2727 |
| Christopher T Walls | Optometry | 20-20 Eyecare of Grenada Pa | 600 Old Hickory Rd, Grenada, MS 38901-2727 |
| Valerie Hildebrand | Nurse Practitioner | Ovation Womens Wellness LLC | 1410 Wooded Dr, Grenada, MS 38901-2841 |
| Sandra Melton | Nurse Practitioner | Ovation Womens Wellness LLC | 1410 Wooded Dr, Grenada, MS 38901-2841 |
| Benjamin Clayton Edwards | Physical Therapy | Encore Rehabilitation Inc | 1322 Sunset Dr C, Grenada, MS 38901-4000 |
| Harvey Mack Ballard | Chiropractic | Ballard Chiropractic | 1301 I Sunset Dr, Grenada, MS 38901-4003 |
| Tara L Dew | Optometry | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Thomas K Braswell | Ophthalmology | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Justin Corey Zampella | Optometry | Bruce Eye Clinic Inc. | 1655 Sunset Dr, Grenada, MS 38901-4061 |
| Mal S Riddell Iii | Family Medicine | 1300 Sunset Dr B, Grenada, MS 38901-4081 | |
| Find all physicians in zip 38901 | |||
| City | GRENADA |
| Zip Code | 38901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRENADA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelley A Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.