KEVIN ANDREW SMALLMAN NP
NPI 1669727087
Nurse Practitioner in Charlotte, NC

Q: What is Kevin Smallman's NPI number?

The NPI number for Kevin Smallman is 1669727087. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Q: What is Kevin Smallman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Smallman was last updated on July 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 23, 2012

11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277(980) 308-0169(980) 308-0173 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2021, Oct 26, 2020, Mar 1, 2019 and 1 more (4 updates tracked since 2016).

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About Kevin Andrew Smallman Np NPPES

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

KEVIN ANDREW SMALLMAN NP (NPI 1669727087) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5005854) and active in the NPI registry since July 2012. He maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1669727087

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKEVIN ANDREW SMALLMANCredential: NP

Location Address11840 SOUTHMORE DR STE 100Charlotte, NC 28277-4821

Mailing AddressPo Box 601843Charlotte, NC 28260-1843

Phone(980) 308-0169

Fax(980) 308-0173

Sole ProprietorYes

Enumeration DateJuly 23, 2012

Last NPPES UpdateJuly 22, 20214 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1669727087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5005854

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 217133 (SC)

11840 SOUTHMORE DR STE 100, Charlotte, NC 28277

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Secondary Practice Location 1

Location 1445 S Kings DrCharlotte, NC 28204-3041 · Phone (980) 308-0141 · Fax (980) 308-3041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

67%64 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

65%93 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

40%107 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

40%52 patients2/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 16

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

MS. MARIAH LEIGH RODRIGUEZ PA

Physician Assistant