KATHRYN A. SMITH FNP NPI 1356458954

NPI Information

  • NPI: 1356458954
  • Provider Name: KATHRYN A. SMITH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 154 S LEROY ST
    METTER, GA
    ZIP 30439
  • Phone: (912) 685-4040

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NPI Details

Kathryn A. Smith, FNP is a family nurse practitioner in Metter, GA. Kathryn A. Smith, FNP NPI is 1356458954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

154 S LEROY ST
METTER, GA
ZIP 30439-631
Phone: (912) 685-4040
Fax: (912) 685-4041

The NPI 1356458954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 2/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN081837GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111904MEDICARE OSCAR/CERTIFICATIONGEORGIA
2511I50024MEDICARE PINGEORGIA
3000454088DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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