Mrs Kellie Fleming Smith, MAUD, CCC-A is a
Audiologist based in Moultrie, Georgia. Mrs Kellie Fleming Smith is licensed to practice in Georgia (license number AUD003314) and her current practice location is
3 Hospital Park, Moultrie, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 891-9131.
NPI number for Mrs Kellie Fleming Smith is 1306996103 and her current mailing address is Po Box 2876, Moultrie, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306996103.
Healthcare Provider's Profile
| Full Name | Mrs Kellie Fleming Smith |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 3 Hospital Park, Moultrie, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306996103
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/28/2023
Medical Identifiers
Medical identifiers for Mrs Kellie Fleming Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306996103 | NPI | - | NPPES |
| 000969262D | Medicaid | GA | |
| 000969262E | Medicaid | GA | |
| 000969262C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AUD003314 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Fleming Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kellie Fleming Smith, MAUD, CCC-A
Po Box 2876,
Moultrie, GA 31776-2876
Ph: (229) 891-9131 | Mrs Kellie Fleming Smith, MAUD, CCC-A
3 Hospital Park,
Moultrie, GA 31768-6772
Ph: (229) 891-9131 |
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