JACQUITA DEADRA SMITH AGNP-C
NPI 1407550668
Nurse Practitioner - Gerontology in Franklin, TN
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
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)
Jacquita Deadra Smith Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquita Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Parsons, TN 38363
- Reassigned Medicare billing, Georgia enrollment
- 32 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 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRANKLIN, TN 37067
FRANKLIN, TN 37067
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 Jacquita Smith's NPI number?
The NPI number for Jacquita Smith is 1407550668. It was assigned to this individual provider in the NPPES registry on March 29, 2023.
Where is Jacquita Smith located?
Jacquita Smith practices at 201 Jordan Rd Ste 200, Franklin, TN 37067. The listed phone number is (731) 847-1428.
What is Jacquita Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jacquita Smith enrolled in Medicare?
Yes. Jacquita Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquita Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquita Smith reassigns Medicare benefits to Truhealth, LLC (Parsons, 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 Jacquita 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 Jacquita Smith was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacquita Deadra Smith, AGNP-C · NPI 1407550668
Gerontology physician in Franklin, Tennessee. Individual provider, active in the CMS NPPES registry since March 29, 2023.
## Identity
- **NPI:** 1407550668 (Entity type: Individual)
- **Enumerated:** March 29, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** RN275254 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 JORDAN RD STE 200, Franklin, TN 37067-4495
- **Phone:** (731) 847-1428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Truhealth, LLC (NPI 1063843951, Parsons, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407550668) · Data from the CMS NPPES public registry.