Individual provider Active NPI

Janna Marie Summerall-Smith, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brunswick, GA
National Provider Identifier
1306855200
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
39242 Issued in NH
Practice address
3011 Hampton Ave
Brunswick, GA 31520-4264
Phone
(912) 261-2669
Fax
(912) 261-0561
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME84750 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39242 NH Primary

Addresses

Primary practice location

3011 Hampton Ave
Brunswick, GA 31520-4264

Mailing address

PO Box 30309
Charleston, SC 29417-0309
Phone (843) 554-9300

Other identifiers 1

IdentifierTypeStateIssuer
282075677AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080225000028 GA Practitioner - Pathology 0840204210 Reassigns benefits to 1 organization
I20260501000165 NH Practitioner - Pathology 0840204210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18181 SW 83Rd CT
Palmetto Bay, FL 33157-6176

PO Box
Atlanta, GA 30374

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME84750FLMDAnatomic Pathology & Clinical Pathology Physician
39242NHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2007 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2007 Accepting new patients
Southeastern Pathology Associate Past Accepting new patients
Coastal Care Inc Past Accepting new patients
Osceola Pathology Associates, PA Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3011 Hampton Ave
Brunswick, GA 31520
Phone (912) 267-6938

3215 Shrine Rd
Ste 2
Brunswick, GA 31520
Phone (912) 262-0042

203 Indigo Dr
Brunswick, GA 31525
Phone (912) 279-1900

710 Center St
Ste 101
Columbus, GA 31901

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

616 19th St
Columbus, GA 31901
Phone (706) 494-4262

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

898 College St
Monticello, GA 31064
Phone (706) 468-0988

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2005 Pioneer St
Ste B
Waycross, GA 31501
Phone (912) 285-8822

Organizations & group practices 6

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1306855200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170309",
            "telephone_number": "843-554-9300",
            "fax_number": "843-566-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HAMPTON AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204264",
            "telephone_number": "912-261-2669",
            "fax_number": "912-261-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERALL-SMITH",
        "first_name": "JANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME84750",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NH",
            "license": "39242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282075677A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.