Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Katherine Smith, FNP-C

Individual provider Family Nurse Practitioner · NPI 1356065718

Mary Katherine Smith, FNP-C is a Nurse Practitioner in Rome, Georgia. Qualified in 2022, 4 years ago. Practices with Mindset for Prosperity, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

409 W 10th St NE
Rome, GA 30165-2640
Phone: (706) 406-5093
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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 RN250856 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN250856 (GA)

Record details

NPI number1356065718
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mindset For Prosperity — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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