Individual provider Active NPI

Kynthia Lynette Smith, FNP-C

  • Family Nurse Practitioner
  • Cairo, GA
National Provider Identifier
1255988424
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN124682 Issued in GA
Practice address
1344 8TH Ave NE
Cairo, GA 39828-1727
Phone
(229) 403-1533
NPI assigned
Aug 22, 2019
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 RN124682 GA Primary

Addresses

Primary practice location

1344 8TH Ave NE
Cairo, GA 39828-1727

Mailing address

1344 8TH Ave NE
Cairo, GA 39828-1727
Phone (229) 403-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201214002762 GA Practitioner - Nurse Practitioner 1759793839 Reassigns benefits to 2 organizations
I20221107003413 FL Practitioner - Nurse Practitioner 1759793839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Urgent Care LLCGroup PAC ID 8820305600, shared by 21 NPIs, 171 clinicians

Practice addresses (Care Compare)

1245 Noah Dr
Jasper, GA 30143-8721
Phone (706) 253-1954

1730 Pat Thomas Pkwy
Quincy, FL 32351-8681
Phone (850) 662-0041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Oct 2, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 2, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 2, 2022 Accepting new patients
Bethany Hospice and Palliative Care, LLC CurrentSince Dec 2, 2020 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

1400 Peterson Ave N
Ste 12
Douglas, GA 31533
Phone (912) 384-6100

125 Benjamin H Hill Dr SW
Fitzgerald, GA 31750
Phone (229) 635-4004

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

2704 N Oak St
Bldg N
Valdosta, GA 31602
Phone (229) 242-8904

2700 N Oak St
Bldg B
Valdosta, GA 31602
Phone (229) 219-7993

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1255988424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 8TH AVE NE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281727",
            "telephone_number": "229-403-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 8TH AVE NE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281727",
            "telephone_number": "229-403-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYNTHIA",
        "middle_name": "LYNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN124682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.