Active NPI
Jennifer Lynn Smith, FNP-C
- Family Nurse Practitioner
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN144996
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063665834 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith & Purvis Family Practice Clinic, PC | Current | Accepting new patients | |
| Georgia Primary Care Partners, LLC | Current | Accepting new patients | |
| East Georgia Hma Physician Management, LLC | Current | Accepting new patients | |
| Accordia Healthcare LLC | Current | 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 | Past | 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
- jennifer.smith.1@31652.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Statesboro, GA
- NPI 1487983151
-
- Primary Care Clinic/Center
- Vidalia, GA
- NPI 1962826511
-
- Primary Care Clinic/Center
- Richmond Hill, GA
- NPI 1144084856
-
dba Statesboro Family Practice Clinic
- Family Medicine Physician
- Statesboro, GA
- NPI 1043384183
-
- Family Medicine Physician
- Statesboro, GA
- NPI 1003011693
-
dba Expercare
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1154931541
-
dba ExperCARE Health
- Urgent Care Clinic/Center
- Hinesville, GA
- NPI 1760265151
-
- Family Medicine Physician
- Elk Grove, CA
- NPI 1912165598
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.