Individual provider Active NPI

Kimberly Davis Smith, NP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1245770817
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22350 Issued in TN
Practice address
10810 Parkside Dr Ste G-12
Knoxville, TN 37934-1982
Phone
(865) 218-6085
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22350 TN Primary
Hospitalist Physician 208M00000X 22350 TN

Addresses

Primary practice location

10810 Parkside Dr Ste G-12
Knoxville, TN 37934-1982

Mailing address

10810 Parkside Drove
Ste G12
Knoxville, TN 37934-2675
Phone (865) 218-6085

Other practice location 1

900 E Oak Hill Ave
Knoxville, TN 37917-4505
Phone (865) 545-8000

Other practice location 2

400 Molyneux St
Rockwood, TN 37854-2936
Phone (865) 684-7377

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
I20170817001326 TN Practitioner - Nurse Practitioner 2163794710 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Suite G 12
Knoxville, TN 37934-1982
Phone (865) 218-7444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22350TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Sep 2, 2019 Accepting new patients
Healogics Specialty Physicians of Tennessee, PLLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Knoxville Hma Physician Management, LLC Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Southeastern Physician Services PC Hospitalist CurrentSince Aug 1, 2023 Accepting new patients

Locations

2253 Chambliss Ave NW
Ste 101
Cleveland, TN 37311
Phone (423) 473-7475

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

900 E Hill Ave
Knoxville, TN 37915
Phone (865) 545-7817

10810 Parkside Dr
Ste G-12
Knoxville, TN 37934
Phone (865) 218-6085

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

10810 Parkside Dr
Ste G10
Knoxville, TN 37934
Phone (865) 218-7525

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1245770817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DROVE",
            "address_2": "STE G12",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342675",
            "telephone_number": "865-218-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE G-12",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341982",
            "telephone_number": "865-218-6085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Oak Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174505",
            "country_code": "US",
            "telephone_number": "865-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Molyneux St",
            "address_purpose": "LOCATION",
            "city": "Rockwood",
            "state": "TN",
            "postal_code": "378542936",
            "country_code": "US",
            "telephone_number": "865-684-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "DAVIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22350",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "22350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.