Kelly Renae Grummer-smith, NP-C - Medicare Nurse Practitioner in Tifton, GA

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Kelly Renae Grummer-smith, NP-C is a medicare enrolled "Nurse Practitioner - Pediatrics" in Tifton, Georgia. Her current practice location is 39 Kent Rd Ste 5, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 353-7337.

Kelly Renae Grummer-smith is licensed to practice in Georgia (license number RN180155) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619310802.

Contact Information

Kelly Renae Grummer-smith, NP-C
39 Kent Rd Ste 5,
Tifton, GA 31794-1697
(229) 353-7337
Not Available

Map and Direction




Provider's Profile

Full NameKelly Renae Grummer-smith
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location39 Kent Rd Ste 5, Tifton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619310802
  • Provider Enumeration Date: 04/08/2013
  • Last Update Date: 03/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810214947
  • Enrollment ID: I20150327002540

Medical Identifiers

Medical identifiers for Kelly Renae Grummer-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619310802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WL0100XRegistered Nurse - Lactation Consultant RN180155 (Georgia)Secondary
163WL0100XRegistered Nurse - Lactation Consultant 545382 (California)Secondary
363LP0200XNurse Practitioner - Pediatrics RN180155 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Renae Grummer-smith allows following entities to bill medicare on her behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameTift Regional Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881203305
PECOS PAC ID: 2062745169
Enrollment ID: O20200217002409

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. Kelly Renae Grummer-smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Renae Grummer-smith, NP-C
907 18th St E Ste 400,
Tifton, GA 31794-3684

Ph: (229) 353-3422		Kelly Renae Grummer-smith, NP-C
39 Kent Rd Ste 5,
Tifton, GA 31794-1697

Ph: (229) 353-7337

Reviews and Comments


Nurse Practitioner Nurses in Tifton, GA

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Phone: 229-386-1528    Fax: 229-388-0556
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Phone: 229-391-3500    Fax: 229-391-3499
Rachel Ware Holloway, APRN
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Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794
Phone: 229-391-4100    
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Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    
Dola Tejaskumar Patel, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 334 Tifton Eldorado Rd, Tifton, GA 31794
Phone: 229-391-2301    Fax: 229-386-3221

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.