Individual provider Active NPI

Jennifer Smith

  • Social Worker
  • Jasper, GA
National Provider Identifier
1386009397
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 57 clinicians

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

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Jul 26, 2023 Accepting new patients
Highland Rivers Community Service Board CurrentSince Jul 26, 2023 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.

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

Verify at the official NPI Registry.