Active NPI
Jennifer Smith
- Social Worker
- Jasper, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 323 Roland Rd
Jasper, GA 30143-5336 - Phone
- (706) 253-1112
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
323 Roland Rd
Jasper, GA 30143-5336
Mailing address
323 Roland Rd
Jasper, GA 30143-5336
Phone (706) 253-1112
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230912002840 | GA | Practitioner - Clinical Social Worker | 0941664718 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Highland Rivers Community Service Board
Practice addresses (Care Compare)
1179 Progress Rd
Ellijay, GA 30540-5504
Phone (706) 270-5033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers CSB | Current | Accepting new patients | |
| Highland Rivers Community Service Board | Current | Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
1179 Progress Rd
Ellijay, GA 30540
Phone (706) 635-2739
323 Roland Rd
Jasper, GA 30143
Phone (706) 253-1112
6 Mathis Dr NW
Rome, GA 30165
Phone (706) 233-9023
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1447256243
GA
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1164585543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1386009397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 ROLAND RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301435336",
"telephone_number": "706-253-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 ROLAND RD",
"city": "JASPER",
"state": "GA",
"postal_code": "301435336",
"telephone_number": "706-253-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.