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JENNIFER J SMITH PA
NPI 1225168065
Physician Assistant - Surgical in Atlanta, GA

Active since March 07, 2007PECOS Enrolled
2001 PEACHTREE RD NE STE 645, ATLANTA, GA 30309(404) 605-2050 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer J Smith Pa NPPES

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

JENNIFER J SMITH PA (NPI 1225168065) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (9313) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225168065
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER J SMITHCredential: PA
Location Address2001 PEACHTREE RD NE STE 645Atlanta, GA 30309-1476
Mailing Address2727 Paces Ferry Rd Se Ste 1-1100Atlanta, GA 30339-6151
Phone(404) 605-2050
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateOctober 28, 2019
✔ NPI 1225168065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in GA · 9313✔ Licensed in CO · 2003
2001 PEACHTREE RD NE STE 645, Atlanta, GA 30309
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Other Identifiers 2

Other016035CO · Kaiser Commercial Number
Medicaid51782863CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer J Smith Pa 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 7

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

MS. AVA TOMPKINS RADAKOVICH PA-C
Physician Assistant
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
NELSON M OYESIKU MD
Neurological Surgery
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
DR. AARON GERALD MAMMOSER M.D., M.S.
Psychiatry & Neurology (Neurology)
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
AMIEE MORGAN FRUTCHEY PA
Physician Assistant
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
DR. TYLER JAMES KENNING M.D.
Neurological Surgery
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
KRISTI BAKER STEWART PA
Physician Assistant
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
DAVID JASON MCCRACKEN M.D.
Neurological Surgery
2001 PEACHTREE RD NE STE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050

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 Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1225168065. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Jennifer Smith located?

Jennifer Smith practices at 2001 Peachtree Rd NE Ste 645, Atlanta, GA 30309. The listed phone number is (404) 605-2050.

What is Jennifer Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.