Organization Active NPI

Foot Services by Jaynell M Smith-Cameron

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1285336040
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT SERVICES BY JAYNELL M SMITH-CAMERON
Practice address
3115 Spring Glen Rd Ste 507
Jacksonville, FL 32207-5907
Phone
(904) 294-1192
NPI assigned
Mar 17, 2023
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Jaynell Smith-Cameron, DPMNPI 1235276189
Title
Ceo
Phone
(904) 294-1192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3115 Spring Glen Rd Ste 507
Jacksonville, FL 32207-5907

Mailing address

PO Box 2588
Jacksonville, FL 32203-2588
Phone (904) 294-1192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230720003656 FL Part B Supplier - Clinic/Group Practice 7214397306 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

3115 Spring Glen Rd
Ste 507
Jacksonville, FL 32207
Phone (904) 294-1192

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1285336040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2588",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322032588",
            "telephone_number": "904-294-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SPRING GLEN RD STE 507",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075907",
            "telephone_number": "904-294-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SERVICES BY JAYNELL M SMITH-CAMERON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH-CAMERON",
        "authorized_official_first_name": "JAYNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-294-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.