KAITLYN SMITH (PA-C) – Medical Physician Assistant, NPI 1245798032
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for KAITLYN SMITH (PA-C)
1825 GA-34
Newnan, GA 30265
Phone: (770) 502-2121
Type: Location
1364 Wellbrook Cir NE
Conyers, GA 300123872
Phone: (770) 285-3533
Type: Location
343 SALEM GATE DR SE STE 100
CONYERS, GA 300131783
Phone: (770) 285-3533
Fax: (770) 502-6052
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $3,532.
Total Amount is formed as General ($3,532) + Research ($0) + Ownership ($0) = $3,532.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($791).
Total Amount
$3,532
General + Research + Ownership
Payments
165
Total payment records
General Amount
$3,532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $791 |
| LEO Pharma Inc. | $300 |
| UCB, Inc. | $208 |
| Janssen Biotech, Inc. | $193 |
| GENZYME CORPORATION | $163 |
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: 2022-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220726001581 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 524 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 105 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 128 | 111 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 125 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 92 | $0 |
Insurance plans in this area (ZIP 30265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | GA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | GA | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | GA | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL |
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