Jennifer Scholz Smith, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3629 Issued in GA

Practice address

17 Felton PL
Suite a
Cartersville, GA 30120-2153

Phone

(770) 386-8996

Fax

(770) 386-8100

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1710222328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FELTON PL",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202153",
            "telephone_number": "770-386-8996",
            "fax_number": "770-386-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FELTON PL",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202153",
            "telephone_number": "770-386-8996",
            "fax_number": "770-386-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "SCHOLZ",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "200 Crescent Center Pkwy",
            "city": "Tucker",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300847047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Manning Sims, DPT
• Elizabeth Slocum, DMD
• Terry Slocum, DMD
• Benjamin R Smith, M.D.
• Charles Young Smith, RPH
• Kaitlyn Jan Smith, BCBA
• Katrina Marie Smith, DPT
• Michael Brad Smith
• Nancy Willis Smith, NP-C
• Rachel Patricia Smith

• Psychologist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.