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KHAYLA ZAIRE SMALLWOOD LPC
NPI 1104677699
Counselor - Professional in Decatur, GA

Active since April 01, 2024PECOS EnrolledAccepts Medicare Assignment
160 CLAIREMONT AVE STE 400, DECATUR, GA 30030(404) 500-4266(404) 500-4283 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Dec 18, 2025, Oct 1, 2024 and 2 more (5 updates tracked since 2024).

About Khayla Zaire Smallwood Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHAYLA ZAIRE SMALLWOOD LPC (NPI 1104677699) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC015132) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104677699
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKHAYLA ZAIRE SMALLWOODCredential: LPC
Location Address160 CLAIREMONT AVE STE 400Decatur, GA 30030-2546
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(404) 500-4266
Fax(404) 500-4283
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2024
Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1104677699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC015132
160 CLAIREMONT AVE STE 400, Decatur, GA 30030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khayla Zaire Smallwood Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921534009
PECOS Enrollment IDI20241212002095
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAJANA TATA PRESIDENT LPC
Counselor (Professional)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
RACHEL HELEN WILLIS LPC
Counselor (Professional)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
BRENDA CAROL HAILEY APC
Counselor (Professional)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
CAROL ANNETTE LEWIS LPC
Counselor (Professional)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
TAVAROUS YKESHIA SAINT-LOUIS LPC
Counselor (Professional)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
NAFIHA ISLAM MD
Psychiatry & Neurology (Psychiatry)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
PATRICE MARIE ADAMS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266
DR. ROY QUINCY SANDERS MD
Psychiatry & Neurology (Psychiatry)
160 CLAIREMONT AVE STE 400
DECATUR, GA 30030
Dekalb County (404) 500-4266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khayla Smallwood's NPI number?

The NPI number for Khayla Smallwood is 1104677699. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Khayla Smallwood located?

Khayla Smallwood practices at 160 Clairemont Ave Ste 400, Decatur, GA 30030. The listed phone number is (404) 500-4266.

What is Khayla Smallwood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Khayla Smallwood enrolled in Medicare?

Yes. Khayla Smallwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Khayla Smallwood was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.