Individual Healthcare Provider
Kaitlyn Smith, PA-C
Provider's NPPES record last updated: July 28, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1245798032
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Conyers, Georgia
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:09 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X Clinic/Center
Urgent Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QU0200X
Provider-Reported License Information
- Physician Assistant (Georgia)
- 9190
- Clinic/Center (Georgia)
- 9190
Practice Locations
Practice Location
343 Salem Gate Dr Se Ste 100
Conyers, Georgia 30013-1783
Phone: (770) 285-3533
Additional Practice Location
1825 Ga-34
Newnan, Georgia 30265
Phone: (770) 502-2121
Additional Practice Location
1364 Wellbrook Cir Ne
Conyers, Georgia 30012-3872
Phone: (770) 285-3533
Record Information
- Enumeration Date
- March 11, 2019
- Provider's NPPES Record Last Updated
- July 28, 2020
- Certification Date
- July 28, 2020
- NPISignal NPPES Dataset
- August 2026
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