DR. KIMBERLY MCCULLOUGH SMASH M.D.
NPI 1881892552
Family Medicine in Jackson, MS

Q: What is Kimberly Smash's NPI number?

The NPI number for Kimberly Smash is 1881892552. It was assigned to this individual provider in the NPPES registry on July 4, 2007. The provider is also known as Ms. Kimberly Anitra Mccullough.

Q: What is Kimberly Smash's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Smash was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 04, 2007PECOS EnrolledAccepts Medicare Assignment

2675 RIVER RIDGE DR, JACKSON, MS 39216(601) 718-0308(855) 838-7032 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kimberly Mccullough Smash M.d. NPPES

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

DR. KIMBERLY MCCULLOUGH SMASH M.D. (NPI 1881892552) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (21233) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2007).

NPPES Registry Identity

NPI1881892552

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KIMBERLY MCCULLOUGH SMASHCredential: M.D.

Location Address2675 RIVER RIDGE DRJackson, MS 39216

Mailing AddressPo Box 1020Jackson, MS 39215-1020 · (601) 718-0308 · Fax (855) 838-7032

Phone(601) 718-0308

Fax(855) 838-7032

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2007

Enumeration DateJuly 4, 2007

Last NPPES UpdateJune 22, 2018

✔ NPI 1881892552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MS · 21233✔ Licensed in MI · 4301090322

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2675 RIVER RIDGE DR, Jackson, MS 39216

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Other Names 1

Former Name (1)Ms. Kimberly Anitra Mccullough

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Dr. Kimberly Mccullough Smash M.d. 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 ID6406036813

PECOS Enrollment IDI20251219001316

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 3

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 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

51 services33 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

PROLIFIC HEALTH & WELLNESS PA

Clinic/Center

2675 RIVER RIDGE DR
JACKSON, MS 39216

Hinds County (769) 257-0586

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 Smash's NPI number?

The NPI number for Kimberly Smash is 1881892552. It was assigned to this individual provider in the NPPES registry on July 4, 2007. The provider is also known as Ms. Kimberly Anitra Mccullough.

Where is Kimberly Smash located?

Kimberly Smash practices at 2675 River Ridge Dr, Jackson, MS 39216. The listed phone number is (601) 718-0308.

What is Kimberly Smash's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Smash enrolled in Medicare?

Yes. Kimberly Smash 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.

What insurance does Kimberly Smash accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kimberly Smash 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 Smash was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.