Kimberly McCullough Smash, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21233 Issued in MS

Practice address

3406 Glacier Hwy
Juneau, AK 99801-9501

Phone

(907) 463-3303

NPI assigned

Jul 4, 2007

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kimberly Anitra McCullough Former name

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Wayne State University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamhi Health and Wellness, IncGroup PAC ID 5799677480, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamhi Health & Wellness, Inc

  • Community/Behavioral Health Agency
  • Juneau, AK
  • NPI 1720126626

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jamhi Health & Wellness, Inc

  • Federally Qualified Health Center (FQHC)
  • Juneau, AK
  • NPI 1619561388

  Family Medicine

  NPD
• Mississippi Family Doctors

  • Family Medicine Physician
  • Pearl, MS
  • NPI 1427063957
  NPD (past)

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

• Bartlett Regional Hospital

  • General Acute Care Hospital
  • Juneau, AK
  • NPI 1891849261
  Care Compare affiliation

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1881892552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1020",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392151020",
            "telephone_number": "601-718-0308",
            "fax_number": "855-838-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019501",
            "telephone_number": "907-463-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 River Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39216",
            "country_code": "US",
            "telephone_number": "601-718-0308",
            "fax_number": "855-838-7032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMASH",
        "first_name": "KIMBERLY",
        "middle_name": "MCCULLOUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090322",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCCULLOUGH",
            "middle_name": "ANITRA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lady Slagle
• Sleep Sound Southeast, LLC
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• Douglas C Smith, PSYCHIATRIST
• Graham J Smith
• Gregory Smith, LMT
• Jason B Smith, MSW

• Family Medicine Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.