MISS KIMBERLY VICTORIA SMITH NP-C
NPI 1740893411
Nurse Practitioner in Stockbridge, GA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Kimberly Smith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lithonia, GA 30058
- Reassigned Medicare billing, Georgia enrollment
- 17 clinicians in this Medicare group
Atlanta, GA 30331
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
Atlanta, GA 30338
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
Marietta, GA 30060
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
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.
Which organizations bill Medicare for Kimberly Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Smith reassigns Medicare benefits to 5 organizations: Preferred Vascular Services Southeast LLC (Lithonia, GA), Preferred Vascular Services Southwest (Atlanta, GA), Preferred Vascular Services Northeast (Atlanta, GA), Preferred Vascular Services Northwest, LLC (Marietta, GA) and Preferred Vascular Services Macon LLC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Smith accept?
Health plans from Oscar Health list Kimberly Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 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.
# Miss Kimberly Victoria Smith, NP-C · NPI 1740893411
Nurse Practitioner physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since August 24, 2020.
## Identity
- **NPI:** 1740893411 (Entity type: Individual)
- **Enumerated:** August 24, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN201498 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1035 SOUTHCREST DR STE 250, Stockbridge, GA 30281-6117
- **Phone:** (770) 996-9945 · **Fax:** (770) 996-7355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Preferred Vascular Services Southeast LLC (NPI 1861992976, Lithonia, GA); Preferred Vascular Services Southwest (NPI 1790285229, Atlanta, GA); Preferred Vascular Services Northeast (NPI 1780184218, Atlanta, GA); Preferred Vascular Services Northwest, LLC (NPI 1598037822, Marietta, GA); Preferred Vascular Services Macon LLC (NPI 1437659455, Macon, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1740893411) · Data from the CMS NPPES public registry.