Jerakaycia Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-9840 Issued in AR

Practice address

476 Hospital Dr
Camden, AR 71701-4616

Phone

(870) 800-9002

Fax

(870) 800-9004

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kindred at Home Home health agency, Camden, AR, CCN 047844
• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050
• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• CCN 040784 Hospital, CCN 040784
• Ouachita Nursing and Rehabilitation Center Nursing home, Camden, AR, CCN 045207

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerasmith@yourcarecommunity.org

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.

• First Choice Family Care

  • Family Medicine Physician
  • Camden, AR
  • NPI 1477175149
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Camden SNF Operations LLC

  • Skilled Nursing Facility
  • Camden, AR
  • NPI 1295119956

  Nursing home

  Care Compare affiliation
• Kah Development 4, LLC

  • Home Health Agency
  • Camden, AR
  • NPI 1710337738
  Care Compare affiliation
• Ouachita County Medical Center

  • Rural Acute Care Hospital
  • Camden, AR
  • NPI 1245284769
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1457797839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014616",
            "telephone_number": "870-800-9002",
            "fax_number": "870-800-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014616",
            "telephone_number": "870-800-9002",
            "fax_number": "870-800-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERAKAYCIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216422001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Shina, M.D.
• Bal N. Shrestha, M.D.
• Kelsey Lauren Simpson
• Hannah Singleton, M.S.
• Hayden Smith, DDS
• Mark Smith, PT, DPT
• Martha Smith
• Somerset Senior Living at Pine Hills
• South Arkansas Regional Health Center Camden Clinic
• South Arkansas Regional Health Center New Hope

• Family Medicine Physician in Camden, AR
• Providers in Camden, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.

Verify at the official NPI Registry.