Kristen Collier Smallwood, RN, CPS-AD

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN265260 Issued in GA

Practice address

38 Lena LN
Dallas, GA 30132-2896

Phone

(770) 324-8752

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Acworth Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Acworth, GA
  • NPI 1497327720
  NPD (past)

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1508586017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LENA LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301322896",
            "telephone_number": "770-324-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LENA LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301322896",
            "telephone_number": "770-324-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "KRISTEN",
        "middle_name": "COLLIER",
        "credential": "RN, CPS-AD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN265260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sines & Spines, LLC
• Delbert Glenn Sines Jr., D.C., C.M.E
• Skin Wellness Dermatology LC
• Natalie Carole Small-Freeman, REGISTERED NURSE
• Jazlyn Khalida Smalls
• Amanda Smith
• Champagnae Smith
• Jamilla Smith
• Kimberly C Smith
• Leslee Shelly Smith, SLP

• Registered Nurse in Dallas, GA
• Providers in Dallas, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.