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Active NPI 1740893411 Individual Practitioner Female Practitioner

Kimberly Victoria Smith , NP-C

Nurse Practitioner • Stockbridge, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Smith, NP-C is a certified Nurse Practitioner practicing in Stockbridge, GA. With approximately 12 years of clinical experience since completing medical education in 2014, Kimberly Smith delivers high-quality medical care to the local community at 1035 SOUTHCREST DR STE 250.

Kimberly Smith is affiliated with Preferred Vascular Services Southwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1035 Southcrest Dr Ste 250

Stockbridge, GA 302816117

Telephone 7709969945
Fax 7709967355
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Stockbridge, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +1.3 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
31 Specialists

Practicing in Stockbridge, GA (3149 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (12 Years) 12 Yrs
Stockbridge Specialty Average (10.7 Years) 10.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-08-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN201498

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License GA RN201498

Definition to come...

Hospital & Practice Group Affiliations

Preferred Vascular Services Southwest

3885 Princeton Lakes Way Sw, Atlanta, GA 303317100

Phone: 4043497770

Practice Associates & Co-Workers

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

2 Associated Practitioners
Vesselin Raytchev , NP-C

Nurse Practitioner - Family

NPI 1689926651

Nurse Practitioner (Certified)

Dr. David Penn , MD

Radiology - Vascular & Interventional Radiology

NPI 1760644355

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 August 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2020

Registered at 1035 SOUTHCREST DR STE 250, STOCKBRIDGE, GA 302816117 (Tel: 7709969945)

📍
Updated Business Mailing Address August 24, 2020

Registered at 1035 SOUTHCREST DR STE 250, STOCKBRIDGE, GA 302816117 (Tel: 7709969945)

👤
Provider Name / Credentials Updated August 24, 2020

Recorded as KIMBERLY SMITH, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2020

Nurse Practitioner (License #RN201498 in GA)

🟢
Initial NPI Registration & Enumeration August 24, 2020

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: 1740893411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2020
Last Update: August 24, 2020
Sole Proprietor: No

Mailing Address

1035 Southcrest Dr Ste 250

Stockbridge, GA 302816117

Phone: 7709969945

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.