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

Latecia S Smith, NP

Individual provider Primary Care Nurse Practitioner · NPI 1992597918

Latecia S Smith, NP is a Nurse Practitioner in Tifton, Georgia. Qualified in 2023, 3 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2025
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

803 Madison Ave
Tifton, GA 31794-4503
Phone: (229) 392-9646
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN253910 (GA)

Record details

NPI number1992597918
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address803 Madison Ave, Tifton, GA 31794-4503

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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