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

Ida Smith, NP

Individual provider Family Nurse Practitioner · NPI 1336525138

Ida Smith, NP is a Family Nurse Practitioner in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1260 Highway 54 W Ste 101
Fayetteville, GA 30214-4525
Phone: (770) 719-4620
Fax: (770) 719-4622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN128300 (GA)

Record details

NPI number1336525138
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 4, 2015
Mailing address2375 Lago Dr, Jonesboro, GA 30236-5251

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