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

Mrs. Katlyn Ann Smith, PA-C

Individual provider Physician Assistant · NPI 1811588494

Mrs. Katlyn Ann Smith, PA-C is a Physician Assistant in Alton, Illinois. Qualified in 2020, 6 years ago. Practices with Thomas a Brady Sports Medicine Center, PC, a 96-clinician group and accepts Medicare assignment. Licensed in Georgia, Indiana and Missouri.

Years since qualifying
6
Licensed in
GA, IN, MO
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4 Memorial Dr Ste 130
Alton, IL 62002-6704
Phone: (618) 463-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004281A (IN)
Physician Assistant Taxonomy 363A00000X (GA)
Physician Assistant Taxonomy 363A00000X · Licence 085009225 (MO)

Record details

NPI number1811588494
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thomas A Brady Sports Medicine Center, Pc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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