SAMANTHA N SMITH NP-C
NPI 1386396380
Nurse Practitioner - Family in Jackson, MS
About Samantha N Smith Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA N SMITH NP-C (NPI 1386396380) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (905109) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha N Smith Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Mississippi enrollment
- 195 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39204
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 Samantha Smith's NPI number?
The NPI number for Samantha Smith is 1386396380. It was assigned to this individual provider in the NPPES registry on January 20, 2022.
Where is Samantha Smith located?
Samantha Smith practices at 1850 Chadwick Dr, Jackson, MS 39204. The listed phone number is (601) 376-1000.
What is Samantha Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Smith enrolled in Medicare?
Yes. Samantha Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Smith reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Smith was last updated on January 20, 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.
# Samantha N Smith, NP-C · NPI 1386396380
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since January 20, 2022.
## Identity
- **NPI:** 1386396380 (Entity type: Individual)
- **Enumerated:** January 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905109 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1850 CHADWICK DR, Jackson, MS 39204-3404
- **Phone:** (601) 376-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** Community Care Health Network LLC (NPI 1619368842, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386396380) · Data from the CMS NPPES public registry.