Kevin F Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

041961 Issued in GA

Practice address

4450 Nelson Brogdon Blvd
Suite D1
Buford, GA 30518-3447

Phone

(770) 932-9998

Fax

(770) 457-3018

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sugar Hill Wellness Center Pain & Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Buford, GA
  • NPI 1326323668
  NPD (past) Authorized official
• John Balko and Associates Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1932105996
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• U.S. Healthworks Medical Group of Georgia, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1376523175
  NPD (past)
• U.S. Healthworks Medical Group of Utah, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Seattle, WA
  • NPI 1548240013
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1790784361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764899",
            "telephone_number": "770-286-9149",
            "fax_number": "770-457-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 NELSON BROGDON BLVD",
            "address_2": "SUITE D1",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183447",
            "telephone_number": "770-932-9998",
            "fax_number": "770-457-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 21st St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329600860",
            "country_code": "US",
            "telephone_number": "888-210-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "041961",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "041961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52614729-001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Studio of Buford, LLC
• Alison Skillman Smith, LPC
• Bree Smith
• Brittney Marie Smith, PHARMD.
• Carmen Smith, LPN
• Lydell Deon Smith, LAPC, CRC
• Sarah Catherine Smith, M.S. CCC-SLP
• Tekesha Smith, LCSW
• Timothy Smith, DC
• Mary L Snavely, PTA

• Family Medicine Physician in Buford, GA
• Providers in Buford, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.