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

Kimbyatta Smith

Individual provider Early Intervention Provider Agency · NPI 1104614981

Kimbyatta Smith is an Early Intervention Provider Agency in Fairburn, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

591 Mary Erna Dr
Fairburn, GA 30213-2721
Phone: (678) 369-3217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1104614981
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address591 Mary Erna Dr, Fairburn, GA 30213-2721