JENNIFER M SMITH (NPI# 1053340471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053340471 |
| Entity Type | Individual |
| Full Name | JENNIFER M SMITH |
| Credential | PA |
| Practice Address |
204 Professional Ct Se Calhoun GA 30701-7020 |
| Practice Telephone | 7066255900 |
| Practice Fax Number | 7066255906 |
| Mailing Telephone | 7066255900 |
| Mailing Fax Number | 7066255906 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004299 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362164 | Jennifer K Smith | Homemaker | 6405 Zachary Dr, Sandusky, OH 44870-8617 | 2020-09-28 |
| 1164038634 | Jennifer Lynn Smith | Technician | 2445 Packs Branch Rd, Mount Hope, WV 25880-6523 | 2020-09-21 |
| 1982215638 | Jennifer D Smith | Technician | 355 Valley View Ave, Keyser, WV 26726-2631 | 2020-08-14 |
| 1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
| 1750905154 | Jennifer Dawn Smith | Registered Nurse | 624 W 1825 N, Centerville, UT 84014-3146 | 2020-06-01 |
| 1497378962 | Jennifer Morgan Smith | Speech-Language Pathologist | 110 Jeremy Ct, Easton, PA 18045-2162 | 2020-05-19 |
| 1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
| 1477182400 | Jennifer Eileen Smith | Dietitian, Registered | 7439 Chummley Ct, Falls Church, VA 22043-2938 | 2020-04-02 |
| 1134754526 | Jennifer Weston Smith | Massage Therapist | 1829 Ne 58th St, Seattle, WA 98105-2440 | 2020-03-06 |
| 1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
| Street Address |
204 PROFESSIONAL CT SE |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-7020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518256 | Wayne N Darville | Pediatrics | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2006-04-18 |
| 1538717707 | Kelsey Elizabeth Hooper | Nurse Practitioner | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2019-08-29 |
| 1104339720 | Dana Lynn Dockery | Counselor | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2017-11-06 |
| 1649639907 | John Daniel Joyave | Family Medicine | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2016-02-15 |
| 1174941165 | Matthew Rumsey | Pediatrics | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2014-04-07 |
| 1497017073 | Rebekah Lynne Kirby | Physician Assistant | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2012-06-11 |
| 1114288701 | Wesley Hill | Psychiatry & Neurology | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2012-05-31 |
| 1629358056 | Rebecca Jane White | Nurse Practitioner | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2011-08-17 |
| 1003103870 | Courtney Parham Johnson | Physician Assistant | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2011-06-30 |
| 1356475214 | Agc Pediatrics, LLC | Specialist | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2007-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356665509 | Shannon Dawn Zundel | Physician Assistant | 185 Professional Court, Calhoun, GA 30701 | 2010-03-17 |
| 1245837293 | Diego Gabriel Deharo | Physician Assistant | 400 Timms Rd Ne, Calhoun, GA 30701-7016 | 2020-10-02 |
| 1295277085 | Jessica Roden | Physician Assistant | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-11-09 |
| 1013377092 | Haley Lawson | Physician Assistant | 1035 Red Bud Rd Ne, Suite 201, Calhoun, GA 30701-6010 | 2016-03-03 |
| 1104285212 | Mary Rachel Layman | Physician Assistant | 100 Hospital Ct, Calhoun, GA 30701-2077 | 2016-02-17 |
| 1194168427 | Amanda Culbertson | Physician Assistant | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6008 | 2013-04-17 |
| 1497017073 | Rebekah Lynne Kirby | Physician Assistant | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2012-06-11 |
| 1003103870 | Courtney Parham Johnson | Physician Assistant | 204 Professional Ct Se, Calhoun, GA 30701-7020 | 2011-06-30 |
| 1619108206 | Melodi Lynne Lewis-carvour | Physician Assistant | 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 | 2009-07-31 |
| 1619916947 | Devin R Martin | Physician Assistant | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6000 | 2006-06-05 |
| Find all providers in CALHOUN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.