Jesse E Smith, MD, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JESSE E SMITH, MD, PLLC

Practice address

923 Pennsylvania Ave Ste 100
Fort Worth, TX 76104-2254

Phone

(817) 806-4245

Fax

(817) 720-0094

NPI assigned

Jul 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jesse E. Smith, MDNPI 1194742791

Title

Owner

Phone

(817) 806-4245

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse E Smith, MD

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1194742791
  Medicare reassignment Care Compare group NPD Authorized official
• Michele Leane McPherson, FNP

  • Nurse Practitioner
  • Decatur, TX
  • NPI 1225536188
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1013753953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 PENNSYLVANIA AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042254",
            "telephone_number": "817-806-4245",
            "fax_number": "817-720-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 PENNSYLVANIA AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042254",
            "telephone_number": "817-806-4245",
            "fax_number": "817-720-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE E SMITH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-806-4245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy P. Watkins MD, L.L.C
• Dequindre Lashay Jernigan, LPC
• James Matthew Jernigan, D.C.
• Jerry T. Davis D.O.,P.a.
• Kaitlyn Jesionowski, DPT
• Joshua Jessel
• Rishita Jessu
• Parisa Roxana Jesudasen
• Jason Ryan Jeter
• Justine Bri Jeter, PHARMD

• Otolaryngology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.