Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haley Alexandra Smith

Individual provider Physician Assistant · NPI 1215409297

Haley Alexandra Smith is a Physician Assistant in Sandy Springs, Georgia. Qualified in 2018, 8 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
8
Licensed in
CA, GA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

20 Glenlake Pkwy
Sandy Springs, GA 30328-3473
Phone: (404) 365-0966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11147 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 56345 (CA)

Record details

NPI number1215409297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 1, 2019
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address20 Glenlake Pkwy, Sandy Springs, GA 30328-3473

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sandy Springs