Active NPI
Kynthia Lynette Smith, FNP-C
- Family Nurse Practitioner
- Cairo, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN124682
- Practice address
- 1344 8TH Ave NE
Cairo, GA 39828-1727 - Phone
- (229) 403-1533
- NPI assigned
- Aug 22, 2019
- Last updated
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Bethany Hospice and Palliative Care, LLC | Current | 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.
-
- Community Based Hospice Care Agency
- Valdosta, GA
- NPI 1972709160
-
dba MainStreet Family Care
- Urgent Care Clinic/Center
- Quincy, FL
- NPI 1881353670
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.