JENNIFER LYNN SMITH NURSE PRACTITIONER
NPI 1861169211
Nurse Practitioner - Family in Cumming, GA
About Jennifer Lynn Smith Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LYNN SMITH NURSE PRACTITIONER (NPI 1861169211) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN268863) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Lynn Smith Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 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 30041 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMMING, GA 30041
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 Jennifer Smith's NPI number?
The NPI number for Jennifer Smith is 1861169211. It was assigned to this individual provider in the NPPES registry on August 24, 2021.
Where is Jennifer Smith located?
Jennifer Smith practices at 3850 Windermere Pkwy Ste 105, Cumming, GA 30041. The listed phone number is (678) 455-2800.
What is Jennifer Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Smith enrolled in Medicare?
Yes. Jennifer Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jennifer Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Smith reassigns Medicare benefits to 3 organizations: Northside Primary Care Professional Services, LLC (Dawsonville, GA), Peachtree Immediate Care Fp, LLC (Hiram, GA) and Minuteclinic LLC (Rockville, MD). 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 Jennifer 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 Jennifer Smith was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Jennifer Lynn Smith, NURSE PRACTITIONER · NPI 1861169211
Family physician in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since August 24, 2021.
## Identity
- **NPI:** 1861169211 (Entity type: Individual)
- **Enumerated:** August 24, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN268863 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3850 WINDERMERE PKWY STE 105, Cumming, GA 30041-7033
- **Phone:** (678) 455-2800
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Northside Primary Care Professional Services, LLC (NPI 1215369715, Dawsonville, GA); Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2026
- **Other identifiers:** Medicaid RN268863 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1861169211) · Data from the CMS NPPES public registry.