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

Active since May 04, 2026
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: August 02, 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.

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
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

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.

Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Health Educator
705 DIXIE ST
CARROLLTON, GA 30117
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Registered Nurse
705 DIXIE ST
CARROLLTON, GA 30117
Internal Medicine
705 DIXIE ST
CARROLLTON, GA 30117

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.

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 3 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.