KATHRYN A. SMITH (FNP) – Family Nurse Practitioner, NPI 1356458954

KATHRYN A. SMITH (FNP) is a healthcare provider. based in Metter, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. RN081837 (GA). The NPI Number for KATHRYN A. SMITH (FNP) is 1356458954

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN A. SMITH (FNP)
NPI
1356458954
Phone
(912) 685-4040
Address
154 S LEROY ST
Enumeration Date
23 August 2006
Last Update Date
27 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125573300
Graduation Year
1987 (39 years ago)
PAC ID
6305890559
Group Practice PAC ID
0547228686
Professional Enrollment ID
I20050310000150
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KATHRYN A. SMITH (FNP)

  • 154, South Leroy Street, Metter, Candler County, Georgia, 30439, United States

    METTER, GA 304394631

    Phone: (912) 685-4040

    Fax: (912) 685-4041

    Type: Location

  • 215, North Coleman Street, Swainsboro, Emanuel County, Georgia, 30401, United States

    SWAINSBORO, GA 304013530

    Phone: (478) 237-6262

    Fax: (478) 237-9138

    Type: Mailing

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: 2005-03-10

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
I20050310000150INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30439)

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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: 0547228686View full group profile
NameSpecialtyState
Family PracticeGA
O P T O M E T R YSC
Nurse PractitionerGA
Hospitalist, Hospice/Palliative Care, Internal MedicineSC
-GA
C H I R O P R A C T I CGA
Internal MedicineGA
-GA
Clinical Social WorkerOK
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is KATHRYN A. SMITH (FNP) identified in CMS data?
CMS-hosted NPPES data lists KATHRYN A. SMITH (FNP) with NPI 1356458954.
Does CMS list KATHRYN A. SMITH (FNP) as active?
Yes — KATHRYN A. SMITH (FNP) is active in the NPI listing used on this page.
What healthcare role does KATHRYN A. SMITH (FNP) hold?
Scheduling teams often label KATHRYN A. SMITH (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KATHRYN A. SMITH (FNP) list a practice location?
Patients near Metter, Georgia may find KATHRYN A. SMITH (FNP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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