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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: August 09, 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.

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
Phone(812) 344-5446
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1679276273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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)

Jesse Christian Smallwood Do 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.

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.

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.