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JACOB BASTON SMITH
NPI 1922945229
Physician Assistant - Medical in Carrollton, GA

Active since May 04, 2026PECOS Enrolled
705 DIXIE ST, CARROLLTON, GA 30117(770) 836-9597 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jacob Baston Smith NPPES

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

JACOB BASTON SMITH (NPI 1922945229) is an individual medical provider in Carrollton, Georgia and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922945229
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB BASTON SMITH
Location Address705 DIXIE STCarrollton, GA 30117-3818
Mailing Address607 Valley Run DrBremen, GA 30110-2413 · (678) 836-3697
Phone(770) 836-9597
Sole ProprietorNo
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1922945229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
705 DIXIE ST, Carrollton, GA 30117
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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)

Jacob Baston Smith 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.

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.

WEST GEORGIA PATHOLOGY, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117
Carroll County (678) 305-9046
LORIEN T ALTADONNA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 836-9672
DR. AARON EZRA HARPER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-9666
DR. ODESSA KIRSTEN SPRAGGINS MD
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (800) 232-5703
SANDRA HARRINGTON
Health Educator
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-5954
DR. MICHAEL HAMNER DO
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (800) 232-5703
ERIN DAWN CANSLER RN
Registered Nurse
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-9666
AGNES NAMBIRO-KASOLO M.D.
Internal Medicine
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 838-8824

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 Jacob Smith's NPI number?

The NPI number for Jacob Smith is 1922945229. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Jacob Smith located?

Jacob Smith practices at 705 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 836-9597.

What is Jacob Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Smith was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.