Individual provider Active NPI

Jill Paulette Smith, P.A.

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1699044677
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000003302 Issued in TN
Practice address
3404 W End Ave Ste 101
Nashville, TN 37203-1080
Phone
(615) 866-4238
Fax
(615) 383-7976
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA0000003302 TN Primary

Addresses

Primary practice location

3404 W End Ave Ste 101
Nashville, TN 37203-1080

Mailing address

3404 W End Ave Ste 101
Nashville, TN 37203-1080
Phone (615) 866-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130903000776 HI Practitioner - Physician Assistant 7315180742 Reassigns benefits to 1 organization
I20180907002555 TN Practitioner - Physician Assistant 7315180742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Enterprise LLCGroup PAC ID 5496998155, 70 clinicians

Practice addresses (Care Compare)

1001 Health Park Dr
Suite 210
Brentwood, TN 37027-5746
Phone (615) 392-6050

1020 Dr Martin L King Jr Blvd
Nashville, TN 37203-5740
Phone (615) 622-4644

1214 Gallatin Ave
Apt 101
Nashville, TN 37206-3270
Phone (615) 988-1620

3404 W End Ave
Suite 101
Nashville, TN 37203-1080
Phone (615) 866-4238

7602 Hwy 70 S
Suite 101
Bellevue, TN 37221-1893
Phone (629) 401-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3302TNMDOptometrist
PA0000003302TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 10, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 10, 2017 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Organizations & group practices 6

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": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1699044677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W END AVE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031080",
            "telephone_number": "615-866-4238",
            "fax_number": "615-383-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W END AVE STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031080",
            "telephone_number": "615-866-4238",
            "fax_number": "615-383-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "middle_name": "PAULETTE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000003302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.