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

Kevin Van Smaalen, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1669905964

Kevin Van Smaalen, MD is a Pathology in Atlanta, Georgia. Graduated from Loma Linda University School of Medicine in 2017, 9 years ago. Practices with Peachtree Piedmont Pathology PC, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Trained at
Loma Linda University School of Medicine
Licensed in
GA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone: (404) 605-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 94944 (GA)

Record details

NPI number1669905964
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESAugust 28, 2023
Certification dateAugust 27, 2023
Mailing address536 Rimrock Trl, Stone Mountain, GA 30083-4555

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Peachtree Piedmont Pathology Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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