Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy M Smith, CFNP

Individual provider Family Nurse Practitioner · NPI 1730119223

Amy M Smith, CFNP is a Nurse Practitioner in Brookhaven, Mississippi. Qualified in 2005, 21 years ago. Practices with Kdmc Physician Clinics LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2006
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Practice location Address checks out

1020 D A Biglane Dr
Brookhaven, MS 39601-2331
Phone: (601) 823-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R853291 (MS)

Record details

NPI number1730119223
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 3, 2010
Mailing addressPo Box 1547, Sedalia, MO 65302-1547

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kdmc Physician Clinics Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brookhaven