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DR. KATHLEEN JEANNE SMITH MD NPI 1396916219


NPI Information

NPI: 1396916219
Provider Name: DR. KATHLEEN JEANNE SMITH, MD
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

CLIA Number: 11D2093874

Address:
1670 SCOTT BLVD STE 202
DECATUR, GA
ZIP 30033
Phone: (678) 904-4932
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DR. Kathleen Jeanne Smith, MD is a dermatopathology pathology in Decatur, GA with 49 years of experience. 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.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1975

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 NPI 1396916219 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 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 2-14 skin growths (HCPCS:17003)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Destruction of skin growth (HCPCS:17000)
  • Tangential biopsy of single skin lesion (HCPCS:11102)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.