Question 1

What type of a medical provider is Kelly Renae Grummer-Smith?

Accepted Answer

Kelly Renae Grummer-Smith is a Nurse Practitioner (Pediatrics).

Question 2

Where does Kelly Renae Grummer-Smith practice medicine?

Accepted Answer

Kelly Renae Grummer-Smith has the following practice address:39 KENT RD STE 5, TIFTON, GA 31794-1697

Question 3

Does this provider have a license number?

Accepted Answer

Kelly Renae Grummer-Smith has 2 license numbers, including: License Number 545382 issued in California.

Question 4

Does Kelly Renae Grummer-Smith accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Kelly Renae Grummer-Smith have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Kelly Renae Grummer-Smith a member of any Medical Groups?

Accepted Answer

Kelly Renae Grummer-Smith is not affiliated with any medical groups.

Question 7

Does Kelly Renae Grummer-Smith participate in PECOS?

Accepted Answer

Yes, Kelly Renae Grummer-Smith participates in PECOS.

Question 8

What phone number can I call to contact Kelly Renae Grummer-Smith?

Accepted Answer

You can call the following number: (229)-353-7337

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Kelly Renae Grummer-Smith.

Question 10

Is Kelly Renae Grummer-Smith  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (3/24/2021).

Taxonomy	State	Primary?
Nurse Practitioner (Pediatrics) - Taxonomy Code 363LP0200X	GA	Y
Registered Nurse (Lactation Consultant) - Taxonomy Code 163WL0100X	CA	N
Registered Nurse (Lactation Consultant) - Taxonomy Code 163WL0100X	GA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Kelly Renae Grummer-Smith

Overview