JESSE CHRISTIAN SMALLWOOD DO
NPI 1679276273
Student in an Organized Health Care Education/Training Program in Columbus, IN

Active since March 23, 2023PECOS Enrolled
3640 W 700 S, COLUMBUS, IN 47201(812) 344-5446 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jesse Christian Smallwood Do NPPES

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

JESSE CHRISTIAN SMALLWOOD DO (NPI 1679276273) is an individual student in an organized health care education/training program in Columbus, Indiana and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2023).

NPPES Registry Identity

NPI1679276273
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESSE CHRISTIAN SMALLWOODCredential: DO
Location Address3640 W 700 SColumbus, IN 47201-9340
Mailing Address3640 W 700 SColumbus, IN 47201-9340 · (812) 344-5446
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2023
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1679276273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3640 W 700 S, Columbus, IN 47201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Christian Smallwood Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426415217
PECOS Enrollment IDI20260826002268
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.

Medicare Billing Reassignment

Medicare enrollment records show Jesse Smallwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
100 RICE MINE ROAD LOOP STE 301
Tuscaloosa, AL 35406
  • Reassigned Medicare billing, Alabama enrollment
  • 307 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.

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 Jesse Smallwood's NPI number?

The NPI number for Jesse Smallwood is 1679276273. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Jesse Smallwood located?

Jesse Smallwood practices at 3640 W 700 S, Columbus, IN 47201. The listed phone number is (812) 344-5446.

What is Jesse Smallwood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jesse Smallwood enrolled in Medicare?

Yes. Jesse Smallwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse Smallwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Smallwood reassigns Medicare benefits to Capstone Health Services Foundation PC (Tuscaloosa, AL). 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 Jesse Smallwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Smallwood accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jesse Smallwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Smallwood was last updated on March 23, 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.