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DR. CHAUNDRISSA MORENIKE SMITH PHD
NPI 1922026301
Psychologist - Clinical in Jonesboro, GA

Active since July 17, 2006PECOS Enrolled
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236(770) 603-3632 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chaundrissa Morenike Smith Phd NPPES

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

DR. CHAUNDRISSA MORENIKE SMITH PHD (NPI 1922026301) is an individual clinical provider in Jonesboro, Georgia, licensed in Georgia (PSY002979) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922026301
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHAUNDRISSA MORENIKE SMITHCredential: PHD
Location Address2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTERJonesboro, GA 30236
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070
Phone(770) 603-3632
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1922026301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in GA · PSY002979✔ Licensed in GA · 2979
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2400 MT. ZION PARKWAY, Jonesboro, GA 30236
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Other Names 1

Other Name (5)Chaundrissa Morenike Oyeshiku

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chaundrissa Morenike Smith Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEROME A MAISLIS PA-C
Physician Assistant (Medical)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236
Clayton County (770) 603-3649
DR. SHANTISE MCCALL STORY O.D.
Optometrist
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (205) 781-5995
MRS. MERCY B MANGA NP-C
Nurse Practitioner (Women's Health)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (770) 603-3649
LYNN KEVIN FLOWERS MD
Emergency Medicine
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (770) 603-3668
SHEFALI NAVIN SHAH MD
Internal Medicine (Hematology & Oncology)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (706) 721-6744
MRS. PAULETTE MAE JARMON-THOMAS MA, LPC
Counselor (Professional)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL OFFICE
JANESBORO, GA 30236
Clayton County (770) 603-3632
DR. JOSEPH EARL THOMPSON MD
Psychiatry & Neurology (Psychiatry)
2400 MT. ZION PARKWAY, KAISER PEMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (404) 931-2417
UCHENNA E AGUWA DO
Emergency Medicine
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (770) 603-3668

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 Chaundrissa Smith's NPI number?

The NPI number for Chaundrissa Smith is 1922026301. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Chaundrissa Morenike Oyeshiku.

Where is Chaundrissa Smith located?

Chaundrissa Smith practices at 2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236. The listed phone number is (770) 603-3632.

What is Chaundrissa Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Chaundrissa Smith enrolled in Medicare?

Yes. Chaundrissa Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chaundrissa Smith was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.