KELLI SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073903175

KELLI SMITH (CRNA) is a healthcare provider. based in Macon, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN205548 (GA). The NPI Number for KELLI SMITH (CRNA) is 1073903175

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLI SMITH (CRNA)
NPI
1073903175
Phone
(478) 746-5644
Address
380 HOSPITAL DR
Enumeration Date
27 January 2015
Last Update Date
27 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4782028691
Graduation Year
2009 (17 years ago)
PAC ID
2466770888
Group Practice PAC ID
3274835004
Professional Enrollment ID
I20150415002206
Address ID
GA312013293MA610XXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for KELLI SMITH (CRNA)

  • 380 HOSPITAL DR

    SUITE 410

    MACON, GA 312178001

    Phone: (478) 746-5644

    Fax: (478) 745-4849

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150415002206ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3030$0
00811Anesthesia for other procedure on large bowel using an endoscope3030$0
00812Anesthesia for exam of colon using an endoscope2424$0
00142Anesthesia for lens surgery2323$0
00813Anesthesia for procedure on small and large bowel using an endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 31217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274835004View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA

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Frequently asked questions

What unique ID ties claims to KELLI SMITH (CRNA)?
NPI 1073903175 is assigned to KELLI SMITH (CRNA) under the national enumeration system.
Is KELLI SMITH (CRNA)'s NPI currently valid?
The extract we use shows KELLI SMITH (CRNA) as active.
Does KELLI SMITH (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for KELLI SMITH (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for KELLI SMITH (CRNA)?
We surface Macon, Georgia for KELLI SMITH (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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