Jawauna Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006455 Issued in GA

Practice address

4343 Shallowford Rd Ste B4A
Marietta, GA 30062-5003

Phone

(770) 992-0002

NPI assigned

Jan 14, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Radiant Family Practice LLC

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1326366154
  Medicare reassignment
• Dr. Syed W. Rizvi

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1154590982
  NPD (past)
• Meredith Burns, Psy.D., P.C.

  • Clinical Psychologist
  • Woodstock, GA
  • NPI 1184753840
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1972925709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 WESLEY PROVIDENCE PKWY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386966",
            "telephone_number": "678-939-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE B4A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625003",
            "telephone_number": "770-992-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAWAUNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Smith, DPT
• Holly Christine Smith, RN, CPNP
• Jacinta Smith
• James Linton Smith, M.D.
• Jasmine Smith
• Jaya Shenise Smith, PHARMD
• Jeffrey Wayne Smith, PHARM D.
• Jilliann Smith, RBT
• Joyce Marlene Smith
• Kristen Smith, RD

• Medical Physician Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.