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MISS KIMBERLY VICTORIA SMITH NP-C
NPI 1740893411
Nurse Practitioner in Stockbridge, GA

Active since August 24, 2020PECOS EnrolledAccepts Medicare Assignment
1035 SOUTHCREST DR STE 250, STOCKBRIDGE, GA 30281(770) 996-9945(770) 996-7355 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kimberly Victoria Smith Np-c NPPES

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

MISS KIMBERLY VICTORIA SMITH NP-C (NPI 1740893411) is an individual nurse practitioner in Stockbridge, Georgia, licensed in Georgia (RN201498) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740893411
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS KIMBERLY VICTORIA SMITHCredential: NP-C
Location Address1035 SOUTHCREST DR STE 250Stockbridge, GA 30281-6117
Mailing Address1035 Southcrest Dr Ste 250Stockbridge, GA 30281-6117 · (770) 996-9945 · Fax (770) 996-7355
Phone(770) 996-9945
Fax(770) 996-7355
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1740893411 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 GA · RN201498
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 · Primary CareTaxonomy 363LP2300X · License RN201498 (GA)
1035 SOUTHCREST DR STE 250, Stockbridge, GA 30281
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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 and accepts Medicare assignment

Miss Kimberly Victoria Smith Np-c 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 ID4688112865
PECOS Enrollment IDI20240819003945
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 30281 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 2

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

PHYSICIANS SPINE AND REHAB SPECIALISTS OF GA
Durable Medical Equipment & Medical Supplies
1035 SOUTHCREST DR STE 250
STOCKBRIDGE, GA 30281
Henry County (678) 275-2200
DR. DAVID ROSS PENN M.D.
Radiology (Vascular & Interventional Radiology)
1035 SOUTHCREST DR STE 250
STOCKBRIDGE, GA 30281
Henry County (770) 996-9945

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 Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1740893411. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Kimberly Smith located?

Kimberly Smith practices at 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281. The listed phone number is (770) 996-9945.

What is Kimberly Smith's specialty?

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

Is Kimberly Smith enrolled in Medicare?

Yes. Kimberly 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 Kimberly Smith was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.