SAMANTHA N SMITH NP-C
NPI 1386396380
Nurse Practitioner - Family in Jackson, MS

Active since January 20, 2022PECOS Enrolled
1850 CHADWICK DR, JACKSON, MS 39204(601) 376-1000 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1386396380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA N SMITHCredential: NP-C
Location Address1850 CHADWICK DRJackson, MS 39204-3404
Mailing AddressPo Box 41Ridgeland, MS 39158-0041
Sole ProprietorNo
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1386396380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 905109
1850 CHADWICK DR, Jackson, MS 39204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha N Smith Np-c 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.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

Nurse Practitioner
1850 CHADWICK DR
JACKSON, MS 39204
Internal Medicine
1850 CHADWICK DR
JACKSON, MS 39204
Social Worker (Clinical)
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Practitioner
1850 CHADWICK DR
JACKSON, MS 39204
Emergency Medicine
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Practitioner (Family)
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Practitioner (Family)
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Anesthetist, Certified Registered
1850 CHADWICK DR
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.

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.