KAITLYN SMITH (NPI# 1245798032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245798032 |
| Entity Type | Individual |
| Full Name | KAITLYN SMITH |
| Credential | PA-C |
| Practice Address |
343 Salem Gate Dr Se Ste 100 Conyers GA 30013-1783 |
| Practice Telephone | 7702853533 |
| Practice Fax Number | 7705026052 |
| Mailing Telephone | 7702853533 |
| Mailing Fax Number | 7705026052 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
9190 | GA | Ambulatory Health Care Facilities |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9190 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1825 Ga-34, Newnan, GA 30265 | 7705022121 | |
| 1364 Wellbrook Cir Ne, Conyers, GA 300123872 | 7702853533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780169193 | Kaitlyn L Smith | Physical Therapist | 3400 E Rezanof Dr, Kodiak, AK 99615-6953 | 2018-10-02 |
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1518467497 | Kaitlyn Elizabeth Smith | Student in an Organized Health Care Education/Training Program | 22410 Bard Ave, Fairview Park, OH 44126-2900 | 2018-02-16 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1659643930 | Kaitlyn Mae Cremer Smith | Occupational Therapist | 151 W Ranch Trl, Palatka, FL 32177-7775 | 2012-02-02 |
| 1053912360 | Kaitlyn Smith | Social Worker | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-11-03 |
| 1689273609 | Kaitlyn Smith | Pharmacist | 53 Exchange St, Richmond Hill, GA 31324-7600 | 2020-10-21 |
| 1548871239 | Kaitlyn Rose Smith | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2020-08-14 |
| 1922619196 | Kaitlyn Marie Smith | Speech-Language Pathologist | 45 Westwood Dr, Simsbury, CT 06070-1719 | 2020-08-12 |
| 1477178838 | Kaitlyn Rae Smith | Behavior Technician | 248 Ne Barry Rd, Kansas City, MO 64155 | 2020-06-11 |
| Street Address |
343 SALEM GATE DR SE STE 100 |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| 1538611686 | Jonae Perrin | Physician Assistant | 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | 2016-10-25 |
| 1972885192 | Katharine Regina Simmon | Physician Assistant | 1313 Milstead Ave Ne, Conyers, GA 30012-3829 | 2011-09-14 |
| 1750497343 | Mara B Ehret | Physician Assistant | 1388 A Wellbrook Circle, Conyers, GA 30012-3872 | 2006-08-23 |
| 1063487015 | Alan M. Keating | Physician Assistant | 1301 Sigman Rd, Suite 100, Conyers, GA 30012-4515 | 2006-02-22 |
| 1285101162 | Sarah Madeline Stripling | Physician Assistant | 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | 2018-10-29 |
| 1982184438 | Rebecca Smith Coman | Physician Assistant | 1101 Nor Tec Drive, Conyers, GA 30013 | 2018-08-15 |
| 1336538974 | Michael Martin Johnson | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2015-01-20 |
| 1467633511 | Brandy Michelle Collins | Physician Assistant | 2215 Exchange Pl Se, Conyers, GA 30013-6723 | 2007-11-16 |
| 1548335896 | Bhavin Patel | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2006-11-22 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.