NPIMap

Organization Active NPI

Kilee Rayelle Smith, DO, PC

  • Family Medicine Physician
  • Hiawassee, GA
National Provider Identifier
1932425220
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63815 Issued in GA
Legal business name
KILEE RAYELLE SMITH, DO, PC
Practice address
103 Church St
Hiawassee, GA 30546-3223
Phone
(706) 896-4673
Fax
(706) 896-3992
NPI assigned
Apr 13, 2010
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Samara J Nicholson, LPN
Title
Office Manager
Phone
(706) 896-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 63815 GA Primary

Addresses

Primary practice location

103 Church St
Hiawassee, GA 30546-3223

Mailing address

103 Church St
Hiawassee, GA 30546-3223
Phone (706) 896-4673

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1932425220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673",
            "fax_number": "706-896-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHURCH ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463223",
            "telephone_number": "706-896-4673",
            "fax_number": "706-896-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILEE RAYELLE SMITH, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-896-4673",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawassee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.