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

Miss. Kimberly Victoria Smith, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1740893411

Miss. Kimberly Victoria Smith, NP-C is a Nurse Practitioner in Stockbridge, Georgia. Qualified in 2014, 12 years ago. Practices with Preferred Vascular Services Southwest, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1035 Southcrest Dr Ste 250
Stockbridge, GA 30281-6117
Phone: (770) 996-9945
Fax: (770) 996-7355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN201498 (GA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN201498 (GA)

Record details

NPI number1740893411
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Preferred Vascular Services Southwest — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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