P Praxis·MD
● Active Type 1 · Individual

Kaitlyn Smith, PA-C

Physician Assistant·Conyers, GA· NPI 1245798032 · Enumerated 2019 · 7 years on NPI
Smith is 1 of 14 physician assistant providers in Conyers and 1 of 1333 in Georgia.
NPI age
7 years
Enumerated 2019-03-11
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
343 Salem Gate Dr Se Ste 100
Conyers, GA 300131783
📞 7702853533fax 7705026052
Mailing address
343 Salem Gate Dr Se Ste 100
Conyers, GA 300131783
📞 7702853533fax 7705026052

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1825 Ga-34
Newnan, GA 30265
📞 7705022121
Location 3
1364 Wellbrook Cir Ne
Conyers, GA 300123872
📞 7702853533

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #9190 taxonomy 363AM0700X
  • Clinic/Center
    Definition to come...
    GA license #9190 taxonomy 261QU0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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