JENNIFER NICOLE ALEXANDRA SMITH P.A.
NPI 1316214687
Physician Assistant - Medical in Fort Stewart, GA

Q: What is Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1316214687. It was assigned to this individual provider in the NPPES registry on November 30, 2011.

Q: What is Jennifer Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since November 30, 2011PECOS Enrolled

1061 HARMON AVE, FORT STEWART, GA 31314(912) 435-5102 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2024, Apr 6, 2024, Jun 1, 2020 (3 updates tracked since 2020).

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About Jennifer Nicole Alexandra Smith P.a. NPPES

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

JENNIFER NICOLE ALEXANDRA SMITH P.A. (NPI 1316214687) is an individual medical provider in Fort Stewart, Georgia, licensed in California (1102095) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316214687

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER NICOLE ALEXANDRA SMITHCredential: P.A.

Location Address1061 HARMON AVEFort Stewart, GA 31314-5641

Mailing Address1061 Harmon AveFort Stewart, GA 31314-5641 · (912) 435-6965

Phone(912) 435-5102

Sole ProprietorNo

Enumeration DateNovember 30, 2011

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1316214687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 1102095

Also ListedPhysician AssistantTaxonomy 363A00000X · License 12373 (GA)

1061 HARMON AVE, Fort Stewart, GA 31314

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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)

Jennifer Nicole Alexandra Smith P.a. 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

12 services12 patients

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.

CHERYL ROBINSON RN

Registered Nurse (Continuing Education/Staff Development)

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (912) 435-5006

WILLIAM ENGLISH R.N.

Registered Nurse (Case Management)

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (912) 435-6628

MS. ALEXANDRA DEANN CHAMBLESS LPN

Licensed Practical Nurse

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (912) 435-5774

EDWIN MARTINEZ

Dental Assistant

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (912) 767-6174

JALAIGH HUNT LPN

Licensed Practical Nurse

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (912) 435-6964

THOMAS BROOKS WADE

Student in an Organized Health Care Education/Training Program

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (571) 802-0394

LARIANN S ROSS APRN-BC

Nurse Practitioner (Family)

1061 HARMON AVE, DMC/IMC
FORT STEWART, GA 31314

Liberty County (912) 435-5706

MISS HEIDI NICOLE HILL LISW-S

Social Worker (Clinical)

1061 HARMON AVE
FORT STEWART, GA 31314

Liberty County (912) 435-6633

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 1316214687. It was assigned to this individual provider in the NPPES registry on November 30, 2011.

Where is Jennifer Smith located?

Jennifer Smith practices at 1061 Harmon Ave, Fort Stewart, GA 31314. The listed phone number is (912) 435-5102.

What is Jennifer Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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 September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.