Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RENAE GRUMMER-SMITH, NP-C
ActiveKELLY RENAE GRUMMER-SMITH, NP-C is a Pediatric Nurse Practitioner healthcare provider located in TIFTON, Georgia. NPI 1619310802 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · TIFTON, GA
Registration Details
- NPI Number
- 1619310802
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2013 (13.3125484065 yrs)
- Last Updated
- Oct 10, 2025
- Licenses
-
RN180155 (GA)NP180155 (GA)545382 (CA)
Practice Information
- Address
-
39 KENT RD STE 5TIFTON, GA, 317941697Browse GA providers · Browse ZIP 31794
- Phone
- 2293537337
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Lactation Consultant Nurse
Other Pediatric Nurse Practitioner Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| MS. DOROTHY DEE AGYEPONG | CPNP | 1821214909 |
| ELIZABETH L. WILSON | PNP | 1093080541 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.