Individual provider Active NPI

Kilee Rayelle Smith, DO

  • Family Medicine Physician
  • Hiawassee, GA
National Provider Identifier
1043400013
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63815 Issued in GA
Practice address
620 Bell Creek Rd
Suite B
Hiawassee, GA 30546-2300
Phone
(706) 970-1154
NPI assigned
Jul 26, 2007
Last updated
Mar 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63815 GA Primary
Family Medicine Physician 207Q00000X 125-049991 IL

Addresses

Primary practice location

620 Bell Creek Rd
Suite B
Hiawassee, GA 30546-2300

Mailing address

620 Bell Creek Rd
Suite B
Hiawassee, GA 30546-2300
Phone (706) 970-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
63815GAMDFamily Medicine Physician
125-049991ILMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1043400013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BELL CREEK RD",
            "address_2": "SUITE B",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462300",
            "telephone_number": "706-970-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BELL CREEK RD",
            "address_2": "SUITE B",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462300",
            "telephone_number": "706-970-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KILEE",
        "middle_name": "RAYELLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63815",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-049991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawassee, GA

Sources for this page

Verify at the official NPI Registry.