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JEREMY SMITH
NPI 1023478468
Physician Assistant in Fort Worth, TX

Active since February 27, 2016
3310 RUNNELS ST, FORT WORTH, TX 76106(469) 237-8614 Get Directions Write a Review

NPPES record last updated: March 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2016, Feb 27, 2016 (2 updates tracked since 2016).

About Jeremy Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY SMITH (NPI 1023478468) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1023478468
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEREMY SMITH
Location Address3310 RUNNELS STFort Worth, TX 76106-6421
Mailing AddressPo Box 535822Grand Prairie, TX 75053-5822
Phone(469) 237-8614
Sole ProprietorYes
Enumeration DateFebruary 27, 2016
Last NPPES UpdateMarch 27, 20162 updates tracked since enumeration
✔ NPI 1023478468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3310 RUNNELS ST, Fort Worth, TX 76106
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Smith's NPI number?

The NPI number for Jeremy Smith is 1023478468. It was assigned to this individual provider in the NPPES registry on February 27, 2016.

Where is Jeremy Smith located?

Jeremy Smith practices at 3310 Runnels St, Fort Worth, TX 76106. The listed phone number is (469) 237-8614.

What is Jeremy Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Smith was last updated on March 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.