Individual provider Active NPI

Jennifer Grannan Smith, NP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1134548654
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-122726 Issued in AL
Practice address
4606 Bellewood Dr
Huntsville, AL 35802-1783
Phone
(256) 551-6510
Fax
(256) 704-7095
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-122726 AL Primary

Addresses

Primary practice location

4606 Bellewood Dr
Huntsville, AL 35802-1783

Mailing address

4606 Bellewood Dr
Huntsville, AL 35802-1783
Phone (256) 551-6510

Other practice location 1

1120 S Jackson Hwy Ste 205
Sheffield, AL 35660-5773
Phone (256) 767-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121000386 AL Practitioner - Nurse Practitioner 6800018169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4606 Bellewood Dr SE
Huntsville, AL 35802-1783
Phone (256) 551-6510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of North Alabama PC CurrentSince Aug 1, 2019 Accepting new patients
Rheumatology Associates of North Alabama, PC CurrentSince Aug 1, 2019 Accepting new patients

Locations

720 Gallatin St SW
Ste 500
Huntsville, AL 35801
Phone (256) 551-6510

4606 Bellewood Dr
Huntsville, AL 35802
Phone (205) 551-6510

1120 S Jackson Hwy
Ste 205
Sheffield, AL 35660
Phone (256) 381-6963

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1134548654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 BELLEWOOD DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021783",
            "telephone_number": "256-551-6510",
            "fax_number": "256-704-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 BELLEWOOD DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021783",
            "telephone_number": "256-551-6510",
            "fax_number": "256-704-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 S Jackson Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356605773",
            "country_code": "US",
            "telephone_number": "256-767-6263",
            "fax_number": "256-767-4583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "GRANNAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-122726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.