Miss Kimberly Victoria Smith, NP-C in Stockbridge, GA

Miss Kimberly Victoria Smith, NP-C is a medicare enrolled "Nurse Practitioner" in Stockbridge, Georgia. Her current practice location is 1035 Southcrest Dr Ste 250, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 996-9945.

Miss Kimberly Victoria Smith is licensed to practice in Georgia (license number RN201498) 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 1740893411.

Contact Information

	Miss Kimberly Victoria Smith, NP-C
	1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117
	(770) 996-9945
	(770) 996-7355

Map and Direction

Provider's Profile

Full Name	Miss Kimberly Victoria Smith
Gender	Female
Speciality	Nurse Practitioner
Location	1035 Southcrest Dr Ste 250, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740893411
Provider Enumeration Date: 08/24/2020
Last Update Date: 08/24/2020

Medicare PECOS Information:

PECOS PAC ID: 4688112865
Enrollment ID: I20240819003945

Medical Identifiers

Medical identifiers for Miss Kimberly Victoria Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740893411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN201498 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN201498 (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. Miss Kimberly Victoria Smith allows following entities to bill medicare on her behalf.

Entity Name	Preferred Vascular Services Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598037822 PECOS PAC ID: 1850552142 Enrollment ID: O20120413000013

Entity Name	Preferred Vascular Services Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861992976 PECOS PAC ID: 3577812312 Enrollment ID: O20180828000280

Entity Name	Preferred Vascular Services Southwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790285229 PECOS PAC ID: 0446502918 Enrollment ID: O20181010003246

Entity Name	Preferred Vascular Services Macon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437659455 PECOS PAC ID: 6406108984 Enrollment ID: O20181010003906

Entity Name	Preferred Vascular Services Northeast
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780184218 PECOS PAC ID: 3577815695 Enrollment ID: O20181017002434

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. Miss Kimberly Victoria 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 Address	Practice Location Address
Miss Kimberly Victoria Smith, NP-C 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 Ph: (770) 996-9945	Miss Kimberly Victoria Smith, NP-C 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 Ph: (770) 996-9945

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860

Miss Kimberly Victoria Smith, NP-C - Medicare Nurse Practitioner in Stockbridge, GA