WALTER JASON SMITH CRNA
NPI 1578923355
Nurse Anesthetist, Certified Registered in Kennesaw, GA
About Walter Jason Smith Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER JASON SMITH CRNA (NPI 1578923355) is an individual nurse anesthetist, certified registered in Kennesaw, Georgia, licensed in Georgia (RN185136) and active in the NPI registry since March 2016. He is affiliated with Wellstar Cobb Medical Center and is a graduate of Northwestern University Feinberg Medical School (2015).
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)
Walter Jason Smith Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Walter Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 213 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNESAW, GA 30152
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 Walter Smith's NPI number?
The NPI number for Walter Smith is 1578923355. It was assigned to this individual provider in the NPPES registry on March 7, 2016.
Where is Walter Smith located?
Walter Smith practices at 1635 Old 41 Hwy NW, Kennesaw, GA 30152. The listed phone number is (870) 530-0081.
What is Walter Smith's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Walter Smith enrolled in Medicare?
Yes. Walter Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Walter Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Smith reassigns Medicare benefits to 2 organizations: Mak Anesthesia Holdings LLC (Kennesaw, GA) and Mak Anesthesia Georgia, LLC (Kennesaw, GA). Each 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 Walter Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Walter Smith affiliated with any hospitals?
According to CMS data, Walter Smith is affiliated with Wellstar Cobb Medical Center.
When was this NPI record last updated?
The NPPES record for Walter Smith was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Walter Jason Smith, CRNA · NPI 1578923355
Nurse Anesthetist, Certified Registered physician in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since March 7, 2016.
## Identity
- **NPI:** 1578923355 (Entity type: Individual)
- **Enumerated:** March 7, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN185136 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1635 OLD 41 HWY NW, Kennesaw, GA 30152-4480
- **Phone:** (870) 530-0081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); Mak Anesthesia Georgia, LLC (NPI 1609390103, Kennesaw, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 2015
## Record status
- **NPPES last updated:** March 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578923355) · Data from the CMS NPPES public registry.