Individual provider Active NPI

Kelly Ann Smith, FNP, AANP

  • Family Nurse Practitioner
  • Signal Mountain, TN
National Provider Identifier
1144025982
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38143 Issued in TN
Practice address
921 Signal Rd
Signal Mountain, TN 37377-3061
Phone
(423) 802-8070
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38143 TN Primary

Addresses

Primary practice location

921 Signal Rd
Signal Mountain, TN 37377-3061

Mailing address

921 Signal Rd
Signal Mountain, TN 37377-3061
Phone (423) 802-8070

Other names 1

  • Ms. Kelly Ann Griffith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202003009 TN Practitioner - Nurse Practitioner 3274026844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

7449 State Route 28
Dunlap, TN 37327-3564
Phone (423) 443-3262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
38143TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 29, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Oct 29, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Oct 29, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 17, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 29, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

7449 State Route 28
Dunlap, TN 37327
Phone (423) 443-3262

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1144025982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SIGNAL RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773061",
            "telephone_number": "423-802-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SIGNAL RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773061",
            "telephone_number": "423-802-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP, AANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GRIFFITH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Signal Mountain, TN

Sources for this page

Verify at the official NPI Registry.