Individual provider Active NPI

Jennifer Lynn Smith, FNP-C

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1699184895
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN144996 Issued in GA
Practice address
658 Northside Dr E Ste a
Statesboro, GA 30458-4828
Phone
(912) 764-9684
Fax
(912) 489-8676
NPI assigned
Aug 13, 2014
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN144996 GA Primary

Addresses

Primary practice location

658 Northside Dr E Ste a
Statesboro, GA 30458-4828

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

4451 Country Club Rd Ste 3A
Statesboro, GA 30458-9238
Phone (912) 764-2273

Other practice location 2

16741 Highway 67
Statesboro, GA 30458-2528
Phone (912) 871-7890

Other identifiers 1

IdentifierTypeStateIssuer
1063665834MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.smith.1@8824.direct.athenahealth.com

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021002640 GA Practitioner - Nurse Practitioner 1557582228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

658 Northside Dr E
Suite a
Statesboro, GA 30458-4828
Phone (912) 764-9684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smith & Purvis Family Practice Clinic, PC CurrentSince Jun 1, 2023 Accepting new patients
Georgia Primary Care Partners, LLC CurrentSince Apr 1, 2025 Accepting new patients
East Georgia Hma Physician Management, LLC CurrentSince Jun 1, 2023 Accepting new patients
Accordia Healthcare LLC CurrentSince Jan 24, 2023 Accepting new patients
East Georgia Urgent Care Past Accepting new patients
The Urgent Care Center of Richmond Hill, LLC Past Accepting new patients
The Urgent Care Center of Richmond Hill, LLC PastSince Aug 27, 2023 Accepting new patients
Otashe Golden, MD, Inc. Past Accepting new patients

Locations

632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545

4690 Forsyth Rd
Ste E
Macon, GA 31210
Phone (334) 603-6010

2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273

60 Exchange St
Ste B5
Richmond Hill, GA 31324
Phone (912) 756-2273

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273

121 Tormenta Way
Statesboro, GA 30458
Phone (912) 680-0020

1301 Statesboro Place Cir
Statesboro, GA 30458
Phone (912) 500-2834

1301 Statesboro Place Cir
Ste 1582
Statesboro, GA 30458

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

4451 Country Club Rd
Ste 3A
Statesboro, GA 30458
Phone (912) 764-2273

658 Northside Dr E
Ste A
Statesboro, GA 30458
Phone (912) 764-9684

3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588

Interoperability endpoints

  • Direct secure messaging: jennifer.smith.1@31652.direct.athenahealth.com
  • Direct secure messaging: jennifer.smith.1@8824.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1699184895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 NORTHSIDE DR E STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584828",
            "telephone_number": "912-764-9684",
            "fax_number": "912-489-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 Country Club Rd Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304589238",
            "country_code": "US",
            "telephone_number": "912-764-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16741 Highway 67",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582528",
            "country_code": "US",
            "telephone_number": "912-871-7890",
            "fax_number": "912-871-7897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN144996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063665834",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.smith.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct address",
            "address_1": "658 Northside Dr E Ste A",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304584828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.