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KISHA SMALLEY FNP
NPI 1124645395
Nurse Practitioner - Primary Care in Mcdonough, GA

Active since July 02, 2020PECOS Enrolled
117 GAMBIER CV, MCDONOUGH, GA 30252(904) 536-3032 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kisha Smalley Fnp NPPES

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

KISHA SMALLEY FNP (NPI 1124645395) is an individual primary care provider in Mcdonough, Georgia, licensed in Georgia (F07200350) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124645395
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKISHA SMALLEYCredential: FNP
Location Address117 GAMBIER CVMcdonough, GA 30252-6273
Mailing Address117 Gambier CvMcdonough, GA 30252-6273 · (904) 536-3032
Phone(904) 536-3032
Sole ProprietorYes
Enumeration DateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1124645395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · F07200350
117 GAMBIER CV, Mcdonough, GA 30252
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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 (PECOS)

Kisha Smalley Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30252 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

OPEN HEARTS & HANDS, LLC
Clinic/Center (Primary Care)
117 GAMBIER CV
MCDONOUGH, GA 30252
Henry County (904) 536-3032

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 Kisha Smalley's NPI number?

The NPI number for Kisha Smalley is 1124645395. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Kisha Smalley located?

Kisha Smalley practices at 117 Gambier Cv, Mcdonough, GA 30252. The listed phone number is (904) 536-3032.

What is Kisha Smalley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kisha Smalley enrolled in Medicare?

Yes. Kisha Smalley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kisha Smalley was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.