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MR. KENNETH L. SMITH PA-C
NPI 1124226568
Physician Assistant - Medical in Augusta, GA

Active since July 06, 2007
1120 15TH ST, NEPHROLOGY DIVISION, MEDICAL COLLEGE OF GA, BA-9413, AUGUSTA, GA 30912(706) 721-2861 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth L. Smith Pa-c NPPES

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

MR. KENNETH L. SMITH PA-C (NPI 1124226568) is an individual medical provider in Augusta, Georgia, licensed in Georgia (000725) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1124226568
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH L. SMITHCredential: PA-C
Location Address1120 15TH ST, NEPHROLOGY DIVISION, MEDICAL COLLEGE OF GA, BA-9413Augusta, GA 30912-0004
Mailing Address4208 Fairfield CirEvans, GA 30809-3628 · (706) 650-9552
Phone(706) 721-2861
Sole ProprietorNo
Enumeration DateJuly 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124226568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 000725
1120 15TH ST, Augusta, GA 30912
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Other Providers at the Same Location NPPES 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1124226568. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Kenneth Smith located?

Kenneth Smith practices at 1120 15th St Nephrology Division, Medical College Of Ga, Ba-9413, Augusta, GA 30912. The listed phone number is (706) 721-2861.

What is Kenneth Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.