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

Shelley Smith, AGPC-NP

Individual provider Gerontology Nurse Practitioner · NPI 1881149102

Shelley Smith, AGPC-NP is a Nurse Practitioner in Douglasville, Georgia. Qualified in 2015, 11 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

6001 Professional Pkwy Ste 2080
Douglasville, GA 30134-5632
Phone: (678) 715-5080
Show map & directions

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

Additional practice locations (1)

  • 129 Bankhead Hwy, Carrollton, GA 30117-3425 — (770) 838-8440

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN106235 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN106235 (GA)

Record details

NPI number1881149102
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPC-NP
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address6001 Professional Pkwy Ste 2080, Douglasville, GA 30134-5632

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Douglasville