DR. KATHLEEN JEANNE SMITH MD NPI 1396916219

NPI Information

  • NPI: 1396916219
  • Provider Name: DR. KATHLEEN JEANNE SMITH, MD
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • CLIA Number: 11D2093874
  • Address: 1670 SCOTT BLVD STE 202
    DECATUR, GA
    ZIP 30033
  • Phone: (678) 904-4932

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NPI Details

DR. Kathleen Jeanne Smith, MD is a dermatopathology pathology in Decatur, GA. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. DR. Kathleen Jeanne Smith, MD NPI is 1396916219. 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:

1670 SCOTT BLVD STE 202
DECATUR, GA
ZIP 30033-645
Phone: (678) 904-4932
Fax: (470) 428-2869

The CLIA number assigned to this NPI record is 11D2093874 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/19/2008 and was last updated on 10/4/2016.

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
1207N00000XDermatology053035GEORGIANo
2207ZI0100XPathologyImmunopathology053035GEORGIANo
3207ZD0900XPathologyDermatopathology053035GEORGIAYes

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
1H30232MEDICARE UPINGEORGIA
2460052OTHERGEORGIAWELLCARE
3090074158AMEDICAIDGEORGIA
4202I224708MEDICARE PINGEORGIA

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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