Jillian Christina Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904679 Issued in MS

Practice address

91570 Highway 42
Richton, MS 39476-9708

Phone

(601) 791-2101

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wayne General Hospital

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638

  MS

  Medicare reassignment Care Compare group NPD
• Wayne General Hospital

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1558963496
  NPD
• Wayne General Hospital

  • Hospitalist Physician
  • Waynesboro, MS
  • NPI 1699589143
  NPD
• Wayne General Hospital

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1285882662
  NPD (past)
• Wayne General Hospsital

  • Interventional Cardiology Physician
  • Waynesboro, MS
  • NPI 1902021546
  NPD (past)

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

• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1265049928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SMITHTOWN BETHEL CHURCH RD",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394769774",
            "telephone_number": "601-791-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91570 HIGHWAY 42",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394769708",
            "telephone_number": "601-791-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILLIAN",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904679",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivry Rayborn, PCIDDT
• RH Emergency Medicine of Perry County LLC
• RH Hospitalist Medicine of Perry County LLC
• Leah Burch Rock, MD
• Arthur Roddy Scarbrough, D.M.D.
• Stricklands Cash & Save Discount Pharmacy Inc
• Angela Thompson, LMSW
• Tri-Vista Rehab, Inc
• Margaret Walls, IDD WAIVER SERVICES
• Shaunita Weathersby, CMHT

• Family Nurse Practitioner in Richton, MS
• Providers in Richton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.