Individual provider Active NPI

Jessica Thigpen Smith, FNP-C

  • Family Nurse Practitioner
  • Irwinton, GA
National Provider Identifier
1245122449
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN176626 Issued in GA
Practice address
123 High Hill St
Irwinton, GA 31042-2611
Phone
(478) 946-2226
Fax
(478) 946-2220
NPI assigned
Jul 21, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 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 RN176626 GA Primary

Addresses

Primary practice location

123 High Hill St
Irwinton, GA 31042-2611

Mailing address

2963 Hurst Rd
Tennille, GA 31089-2149
Phone (478) 232-7952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260520001237 GA Practitioner - Nurse Practitioner 1759850605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stacey H Williford LLCGroup PAC ID 5092198580, 7 clinicians

Practice addresses (Care Compare)

524 Sparta Rd
Sandersville, GA 31082-1376
Phone (478) 412-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN176626GAMDFamily Nurse Practitioner

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1245122449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 HURST RD",
            "city": "TENNILLE",
            "state": "GA",
            "postal_code": "310892149",
            "telephone_number": "478-232-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGH HILL ST",
            "city": "IRWINTON",
            "state": "GA",
            "postal_code": "310422611",
            "telephone_number": "478-946-2226",
            "fax_number": "478-946-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "THIGPEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwinton, GA

Sources for this page

Verify at the official NPI Registry.