MRS. JULENE DOROTHY SMITH PMHNP-BC
NPI 1083071898
Nurse Practitioner - Psychiatric/Mental Health in Cairo, GA

Active since January 25, 2016PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
410 4TH ST SE, CAIRO, GA 39828(229) 403-9964 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Jan 25, 2016 (2 updates tracked since 2016).

About Mrs. Julene Dorothy Smith Pmhnp-bc NPPES

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

MRS. JULENE DOROTHY SMITH PMHNP-BC (NPI 1083071898) is an individual psychiatric/mental health provider in Cairo, Georgia, licensed in Georgia (RN121421) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and maintains a secondary practice location in Valdosta.

NPPES Registry Identity

NPI1083071898
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JULENE DOROTHY SMITHCredential: PMHNP-BC
Location Address410 4TH ST SECairo, GA 39828-2775
Mailing Address410 4th St SeCairo, GA 39828-2775 · (229) 403-9964
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 25, 2016
Last NPPES UpdateJune 22, 20222 updates tracked since enumeration
NPPES CertifiedJune 22, 2022
NPI 1083071898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN121421
410 4TH ST SE, Cairo, GA 39828

Secondary Practice Location 1

Location 12109 N Patterson St Ste BValdosta, GA 31602-2577 · Phone (229) 232-4833 · Fax (877) 343-0538

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Julene Dorothy Smith Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406134238
PECOS Enrollment IDI20161031000790
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
82 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39828 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
410 4TH ST SE
CAIRO, GA 39828

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 Julene Smith's NPI number?

The NPI number for Julene Smith is 1083071898. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Where is Julene Smith located?

Julene Smith practices at 410 4th St SE, Cairo, GA 39828. The listed phone number is (229) 403-9964.

What is Julene Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Julene Smith enrolled in Medicare?

Yes. Julene Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Julene Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Julene Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Julene Smith affiliated with any hospitals?

According to CMS data, Julene Smith is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Julene Smith was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.