Jessica Marie Smith, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-12239 Issued in AR

Practice address

1629 Airport Rd Ste B
Hot Springs, AR 71913-8069

Phone

(501) 767-0075

Fax

(501) 767-4455

NPI assigned

Mar 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie Johnson Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.smith.1@16721.direct.athenahealth.com

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.

• Healthstar Physicians of Hot Springs, PLLC

  • Clinic/Center
  • Hot Springs, AR
  • NPI 1508240482
  NPD (past)
• Healthstar Physicians of Hot Springs, PLLC

  • Family Medicine Physician
  • Pearcy, AR
  • NPI 1962004093
  NPD (past)
• Healthstar Physicians Practice Management PLLC

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1033701578
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1144682113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-625-7500",
            "fax_number": "501-625-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AIRPORT RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138069",
            "telephone_number": "501-767-0075",
            "fax_number": "501-767-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-12239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce L Smith Jr., M.D.
• David Smith, LCSW
• Dianna L Smith, LCSW
• Glynn Gregory Smith, DO
• Holli Latrece Smith
• John Wayne Smith, M.D.
• Joyce Smith, LPN
• Kasey Smith
• Lance Smith, PHARMD
• Laura Lee Smith, MA, CCC-SLP

• Pediatrics Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.