JACQUITA DEADRA SMITH AGNP-C
NPI 1407550668
Nurse Practitioner - Gerontology in Franklin, TN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

Active since March 29, 2023PECOS Enrolled

201 JORDAN RD STE 200, FRANKLIN, TN 37067(731) 847-1428 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacquita Deadra Smith Agnp-c NPPES

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

JACQUITA DEADRA SMITH AGNP-C (NPI 1407550668) is an individual gerontology provider in Franklin, Tennessee, licensed in Georgia (RN275254) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407550668

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJACQUITA DEADRA SMITHCredential: AGNP-C

Location Address201 JORDAN RD STE 200Franklin, TN 37067-4495

Mailing Address113 Sugarberry Dr NeMilledgeville, GA 31061-8069 · (478) 363-5428

Phone(731) 847-1428

Sole ProprietorYes

Enumeration DateMarch 29, 2023

NPPES CertifiedMarch 26, 2023

✔ NPI 1407550668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in GA · RN275254

201 JORDAN RD STE 200, Franklin, TN 37067

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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)

Jacquita Deadra Smith Agnp-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 37067 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.