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Active NPI 1124226568 Individual Practitioner Male Practitioner

Kenneth L. Smith , PA-C

Physician Assistant - Medical • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Kenneth Smith, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St
Nephrology Division, Medical College Of Ga, Ba-9413

Augusta, GA 309120004

Telephone 7067212861
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
59 Specialists

Practicing in Augusta, GA (1331 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License GA 000725

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Muralidharan Jagadeesan , MD

Internal Medicine - Nephrology

NPI 1073623302

Doctor of Medicine (M.D.)

Dr. Pamela Fall , MD

Internal Medicine - Nephrology

NPI 1144323684

Doctor of Medicine (M.D.)

Muhammad Asim

Internal Medicine - Nephrology

NPI 1174446405
Dr. Laura Mulloy , DO

Internal Medicine - Nephrology

NPI 1376652388

Doctor of Osteopathic Medicine (D.O.)

Keiko Stobaeus , PA-C

Physician Assistant - Medical

NPI 1568935823

Physician Assistant (Certified)

Dr. William Paulson , MD

Internal Medicine - Nephrology

NPI 1619077617

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1120 15TH ST, NEPHROLOGY DIVISION, MEDICAL COLLEGE OF GA, BA-9413, AUGUSTA, GA 309120004 (Tel: 7067212861)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4208 FAIRFIELD CIR, EVANS, GA 308093628 (Tel: 7066509552)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #000725 in GA)

🟢
Initial NPI Registration & Enumeration July 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124226568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4208 Fairfield Cir

Evans, GA 308093628

Phone: 7066509552

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.