Individual provider Active NPI

Kaitlyn Leigh Smith, NP-C

  • Adult Health Nurse Practitioner
  • Tifton, GA
National Provider Identifier
1821584855
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP227483 Issued in GA
Practice address
104 8TH St W Unit a
Tifton, GA 31794-3985
Phone
(229) 391-4426
Fax
(229) 391-4304
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP227483 GA Primary

Addresses

Primary practice location

104 8TH St W Unit a
Tifton, GA 31794-3985

Mailing address

PO Box 2650
Tifton, GA 31793-2650
Phone (229) 402-0425

Other practice location 1

2225 US Highway 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

Other practice location 2

901 18th St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Other names 1

  • Kaitlyn Leigh Marshall Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181029001896 GA Practitioner - Nurse Practitioner 0446503023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP227483GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2018 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2018 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 24, 2026 Accepting new patients
Creative Hospice Care Inc Past Accepting new patients

Locations

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

104 8th St W
Ste 2A
Tifton, GA 31794

1602 Madison Ave
Tifton, GA 31794
Phone (229) 386-4200

104 8th St W
Unit A
Tifton, GA 31794
Phone (229) 391-4426

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1821584855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317932650",
            "telephone_number": "229-402-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 8TH ST W UNIT A",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943985",
            "telephone_number": "229-391-4426",
            "fax_number": "229-391-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 US Highway 41 N",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317942749",
            "country_code": "US",
            "telephone_number": "229-391-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 18th St E",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943648",
            "country_code": "US",
            "telephone_number": "229-382-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "middle_name": "LEIGH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "NP227483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "MARSHALL",
            "middle_name": "LEIGH",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.