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

Individual provider Physician Assistant · NPI 1699586644

Joseph Nathaniel Smith, PA is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2025, 1 year ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2200 Medical Center Blvd Ste 200
Lawrenceville, GA 30046-7765
Phone: (404) 845-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12870 (GA)

Record details

NPI number1699586644
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 17, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing address2200 Medical Center Blvd Ste 200, Lawrenceville, GA 30046-7765

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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