DR. KATHLEEN JEANNE SMITH MD
NPI 1396916219
Pathology - Dermatopathology in Decatur, GA

Q: What is Kathleen Smith's NPI number?

The NPI number for Kathleen Smith is 1396916219. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Q: What is Kathleen Smith's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Smith was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 19, 2008CLIA 11D2093874 · Waiver

1670 SCOTT BLVD STE 202, DECATUR, GA 30033(678) 904-4932(470) 428-2869 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kathleen Jeanne Smith Md NPPES

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

DR. KATHLEEN JEANNE SMITH MD (NPI 1396916219) is an individual dermatopathology provider in Decatur, Georgia, licensed in Georgia (053035) and active in the NPI registry since March 2008. She holds a CLIA Waiver certificate valid through March 8, 2027.

NPPES Registry Identity

NPI1396916219

Entity TypeIndividualFemale

Primary Taxonomy207ZD0900X

Provider Legal NameDR. KATHLEEN JEANNE SMITHCredential: MD

Location Address1670 SCOTT BLVD STE 202Decatur, GA 30033-5645

Mailing Address1670 Scott Blvd Ste 202Decatur, GA 30033-5645 · (678) 904-4932 · Fax (470) 428-2869

Phone(678) 904-4932

Fax(470) 428-2869

Sole ProprietorNo

Enumeration DateMarch 19, 2008

Last NPPES UpdateOctober 4, 2016

✔ NPI 1396916219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZD0900X

License✔ Licensed in GA · 053035

Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedDermatologyTaxonomy 207N00000X · License 053035 (GA)

Also ListedPathology · ImmunopathologyTaxonomy 207ZI0100X · License 053035 (GA)

1670 SCOTT BLVD STE 202, Decatur, GA 30033

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Other Identifiers 4

Medicare UPINH30232GA

Other460052GA · Wellcare

Medicaid090074158AGA

Medicare PIN202I224708GA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2093874

Kathleen J Smith , MD, Faad · Decatur, GA

Active · expires Mar 8, 2027

CLIA Number11D2093874

Laboratory TypePhysician Office

Certificate Effective DateMarch 9, 2025

Certificate Expiration DateMarch 8, 2027

Laboratory DirectorKathleen J. Smith

Laboratory Phone(678) 904-4932

Laboratory LocationKathleen J Smith , MD, Faad1670 Scott Blvd, Suite 202, Decatur, GA 30033

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Kathleen Smith's NPI number?

The NPI number for Kathleen Smith is 1396916219. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Kathleen Smith located?

Kathleen Smith practices at 1670 Scott Blvd Ste 202, Decatur, GA 30033. The listed phone number is (678) 904-4932.

What is Kathleen Smith's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Does Kathleen Smith hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2093874) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kathleen Smith was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.