Kelsey Hammond Smith, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN214174 Issued in GA

Practice address

209 Ridley Ave Ste C
Lagrange, GA 30240-2762

Phone

(706) 756-1066

Fax

(706) 948-8648

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

University of New Mexico School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Arthritis and Joint Care of Lagrange

  • Rheumatology Physician
  • Lagrange, GA
  • NPI 1255018784
  Medicare reassignment NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1417401720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RIDLEY AVE STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402762",
            "telephone_number": "706-756-1066",
            "fax_number": "706-948-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RIDLEY AVE STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402762",
            "telephone_number": "706-756-1066",
            "fax_number": "706-948-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "HAMMOND",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN214174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Shannon Smith, LPC
• Claire Suzanne Smith, RN
• Ericia Smith, CPB, CCS, A.S.T
• John Connor Smith, M.D.
• Katherine Marie Smith, RPH
• Laura Leigh Smith, PT
• Michael Scott Smith, PSY
• Natalie R Smith, PHARMD
• Shauntrell Smith, LMSW
• Shaynell Smith

• Nurse Practitioner in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.