Organization Active NPI

The Smart Care Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1508707571
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THE SMART CARE CLINIC
Practice address
224 Avalon Cir Ste B
Brandon, MS 39047-7920
Phone
(601) 675-2409
Fax
(601) 893-5392
NPI assigned
Apr 3, 2026
Organization subpart
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

Authorized official

Name
Jennifer Darlene Smith, FPMHNP-BCNPI 1063260172
Title
Aprn
Phone
(601) 906-3857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

224 Avalon Cir Ste B
Brandon, MS 39047-7920

Mailing address

1814 St John Rd
Braxton, MS 39044-9470
Phone (601) 675-2409

Other identifiers 1

IdentifierTypeStateIssuer
200021690MedicaidMS

National Provider Directory

National Provider Directory

Locations

224 Avalon Cir
Ste B
Brandon, MS 39047
Phone (601) 675-2409

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1508707571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 ST JOHN RD",
            "city": "BRAXTON",
            "state": "MS",
            "postal_code": "390449470",
            "telephone_number": "601-675-2409",
            "fax_number": "601-893-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 AVALON CIR STE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477920",
            "telephone_number": "601-675-2409",
            "fax_number": "601-893-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMART CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "601-906-3857",
        "authorized_official_credential": "FPMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021690",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.