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JONATHAN CARL SMITH JR.
NPI 1053115857
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 02, 2025PECOS Enrolled
1215 LEE ST BOX 800744, CHARLOTTESVILLE, VA 22908(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Carl Smith Jr. NPPES

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

JONATHAN CARL SMITH JR. (NPI 1053115857) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053115857
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN CARL SMITH JR.
Location Address1215 LEE ST BOX 800744Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Box 800744Charlottesville, VA 22908-0816 · (434) 924-1931 · Fax (434) 244-4451
Phone(434) 924-1931
Fax(434) 244-4451
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1053115857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST BOX 800744, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Carl Smith Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID SAM LEE MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
ERIN CATHERINE HARTEN MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
DAVID STORM FILSTON
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
RACHEL CHERNY MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
FARID ABOU-ISSA MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
DR. JESSICA TRINH M.D.
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
MICHAEL COSTA
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
BRANDON IMAN DASHTIZAD MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931

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 Jonathan Smith's NPI number?

The NPI number for Jonathan Smith is 1053115857. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Jonathan Smith located?

Jonathan Smith practices at 1215 Lee St Box 800744, Charlottesville, VA 22908. The listed phone number is (434) 924-1931.

What is Jonathan Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Smith enrolled in Medicare?

Yes. Jonathan Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Smith was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.