Individual provider Active NPI

Jana Dawn Smith Martin, AU.D.

  • Audiologist
  • Fayetteville, AR
National Provider Identifier
1366721813
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A346 Issued in AR
Practice address
2100 N Green Acres Rd
Fayetteville, AR 72703-2807
Phone
(479) 587-0088
NPI assigned
Aug 15, 2011
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A346 AR Primary

Addresses

Primary practice location

2100 N Green Acres Rd
Fayetteville, AR 72703-2807

Mailing address

2100 N Green Acres Rd
Fayetteville, AR 72703-2807
Phone (479) 587-0088

Other names 1

  • Jana Dawn Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000073 AR Practitioner - Qualified Audiologist 2769654078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Center, PAGroup PAC ID 4789662131, 5 clinicians

Practice addresses (Care Compare)

2100 N Green Acres Rd
Suite a
Fayetteville, AR 72703-2885
Phone (479) 521-0455

2100 N Green Acres Rd a
Fayetteville, AR 72703-2807

Merit-based Incentive Payment System (MIPS)

Final score
88.45 of 100Reported as group
Quality
89.4
Improvement activities
40
Cost
75.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A346ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Center, PA CurrentSince Jan 31, 2024 Accepting new patients
Allergy Care Center PastSince Jun 4, 2013 Accepting new patients

Locations

2100 N Green Acres Rd
Ste A
Fayetteville, AR 72703
Phone (479) 521-0455

Organizations & group practices 2

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1366721813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032807",
            "telephone_number": "479-587-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032807",
            "telephone_number": "479-587-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH MARTIN",
        "first_name": "JANA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "SMITH",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.