P Praxis·MD
● Active Type 1 · Individual

Kelly Renae Grummer-Smith, NP-C

Nurse Practitioner·Tifton, GA· NPI 1619310802 · Enumerated 2013 · 13 years on NPI
Grummer-Smith is 1 of 3 nurse practitioner providers in Tifton and 1 of 929 in Georgia.
NPI age
13 years
Enumerated 2013-04-08
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 3 yr above median (10 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
39 Kent Rd Ste 5
Tifton, GA 317941697
📞 2293537337
Mailing address
907 18th St E Ste 400
Tifton, GA 317943684
📞 2293533422fax 2293536060

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #NP180155 taxonomy 363LP0200X
  • Registered Nurse
    Definition to come...
    GA license #RN180155CA license #545382 taxonomy 163WL0100X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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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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