MRS. KELSEY HAMMOND SMITH CNP
NPI 1417401720
Nurse Practitioner in Lagrange, GA

Active since August 04, 2016PECOS EnrolledAccepts Medicare Assignment
209 RIDLEY AVE STE C, LAGRANGE, GA 30240(706) 756-1066(706) 948-8648 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Jan 20, 2020 (2 updates tracked since 2020).

About Mrs. Kelsey Hammond Smith Cnp NPPES

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

MRS. KELSEY HAMMOND SMITH CNP (NPI 1417401720) is an individual nurse practitioner in Lagrange, Georgia, licensed in Georgia (RN214174) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2016).

NPPES Registry Identity

NPI1417401720
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELSEY HAMMOND SMITHCredential: CNP
Location Address209 RIDLEY AVE STE CLagrange, GA 30240-2762
Mailing Address209 Ridley Ave Ste CLagrange, GA 30240-2762 · (706) 756-1066 · Fax (706) 948-8648
Fax(706) 948-8648
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2016
Enumeration DateAugust 4, 2016
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1417401720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN214174
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
209 RIDLEY AVE STE C, Lagrange, GA 30240

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

Mrs. Kelsey Hammond Smith Cnp 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 ID6002103140
PECOS Enrollment IDI20200217000990
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Internal Medicine (Rheumatology)
209 RIDLEY AVE STE C
LAGRANGE, GA 30240

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 Kelsey Smith's NPI number?

The NPI number for Kelsey Smith is 1417401720. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Kelsey Smith located?

Kelsey Smith practices at 209 Ridley Ave Ste C, Lagrange, GA 30240. The listed phone number is (706) 756-1066.

What is Kelsey Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelsey Smith enrolled in Medicare?

Yes. Kelsey Smith 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 Kelsey Smith was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.