KRISTIE JO SMITH (MSN, RN, FNP) – Family Nurse Practitioner, NPI 1821323304

KRISTIE JO SMITH (MSN, RN, FNP) is a healthcare provider. based in Leesburg, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, FNP. They hold a License No. RN152744 (GA). The NPI Number for KRISTIE JO SMITH (MSN, RN, FNP) is 1821323304

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIE JO SMITH (MSN, RN, FNP)
NPI
1821323304
Phone
(229) 438-7051
Address
118 JOHNS DR
Enumeration Date
16 October 2009
Last Update Date
16 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293125222
Graduation Year
2009 (17 years ago)
PAC ID
0143549410
Group Practice PAC ID
8426112350
Professional Enrollment ID
I20150507002662
Address ID
GA317011943AL417XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KRISTIE JO SMITH (MSN, RN, FNP)

  • 118 JOHNS DR

    LEESBURG, GA 317634506

    Phone: (229) 438-7051

    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)

CMS reports 21 Open Payments records for all available years, with a total value of $465.

Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$465

General + Research + Ownership

Payments

21

Total payment records

General Amount

$465

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-05-07

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
I20150507002662INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg36038$0
99213Established patient office or other outpatient visit, 20-29 minutes229162$0
99214Established patient office or other outpatient visit, 30-39 minutes9966$0
J0696Injection, ceftriaxone sodium, per 250 mg9622$0
96372Injection of drug or substance under skin or into muscle9460$0
View full utilization report →

Insurance plans in this area (ZIP 31763)

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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: 8426112350View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
-GA
Internal MedicineGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Critical Care (Intensivists), Infectious DiseaseIN
Internal MedicineGA
Internal MedicineGA
Pulmonary Disease, Internal MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to KRISTIE JO SMITH (MSN, RN, FNP)?
NPI 1821323304 is assigned to KRISTIE JO SMITH (MSN, RN, FNP) under the national enumeration system.
Is KRISTIE JO SMITH (MSN, RN, FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KRISTIE JO SMITH (MSN, RN, FNP) work in?
You can think of KRISTIE JO SMITH (MSN, RN, FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIE JO SMITH (MSN, RN, FNP)?
The snapshot lists Leesburg, Georgia for KRISTIE JO SMITH (MSN, RN, FNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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