JAKOBIE SMITH (NPI# 1053664060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053664060 |
| Entity Type | Individual |
| Full Name | JAKOBIE SMITH |
| Practice Address |
4500 Satellite Blvd Suite 2290 Duluth GA 30096-5037 |
| Mailing Address |
2309 Club Pl Duluth GA 30096-8215 |
| Practice Telephone | 8003812195 |
| Mailing Telephone | 9109164258 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA000229 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
4500 SATELLITE BLVD SUITE 2290 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060773 | Ashia N Fayne | Speech-Language Pathologist | 4500 Satellite Blvd, Duluth, GA 30096-5037 | 2008-11-07 |
| 1790315950 | Michelle Raphael | Occupational Therapist | 4500 Satellite Blvd, Duluth, GA 30096-5037 | 2020-01-16 |
| 1316492051 | Nicole Kong | Speech-Language Pathologist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037 | 2016-08-23 |
| 1528512845 | Patience Stephenson | Speech-Language Pathologist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037 | 2016-08-04 |
| 1003360223 | Barbara Williamson | Occupational Therapist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037 | 2016-08-04 |
| 1518310135 | Liz Gonzalez | Occupational Therapist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5047 | 2016-07-19 |
| 1073962437 | Vanessa Risingmoon | Speech-Language Pathologist | 4500 Satellite Blvd, Ste 2250, Duluth, GA 30096-5037 | 2016-06-07 |
| 1689044844 | Lauren Prather | Speech-Language Pathologist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037 | 2015-09-30 |
| 1194192856 | Marissa Habeshy | Speech-Language Pathologist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037 | 2015-08-28 |
| 1568839223 | Loren Mallari | Occupational Therapist | 4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922441989 | Ann Marie Rotberg | Specialist/Technologist | 4500 Satellite Blvd, Duluth, GA 30096-5037 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036156 | Candace L Hughes | Specialist/Technologist | 1058 5th Ave, Jonesboro, GA 30236-3299 | 2019-07-24 |
| 1043864432 | Destiny Lacara Mack | Specialist/Technologist | 160 Roberts Dr, Riverdale, GA 30274-3302 | 2019-07-24 |
| 1437710753 | Kristyn Spelina | Specialist/Technologist | 2775 Cruse Rd Ste 2002, Lawrenceville, GA 30044-7147 | 2019-06-26 |
| 1073083564 | Kimberly Odom | Specialist/Technologist | 2602 White Rose Dr, Loganville, GA 30052-2196 | 2018-11-28 |
| 1811416498 | Susan M Kirkland | Specialist/Technologist | 165 Jackson Dr, Resaca, GA 30735 | 2017-09-14 |
| 1558737775 | Diane Armstead | Specialist/Technologist | 809 Muirfield Trl, Marietta, GA 30068-2653 | 2015-08-12 |
| 1982025979 | Lm Speech | Specialist/Technologist | 2547 Ridgewood Ter Nw, Atlanta, GA 30318-1320 | 2013-12-18 |
| 1497090898 | Tiara Lynn | Specialist/Technologist | 3180 Blackfoot Ln, Rex, GA 30273-1065 | 2012-12-11 |
| 1467724351 | Bianca C Kelly | Specialist/Technologist | 3209 Saint Clair Dr Ne, Atlanta, GA 30329-2662 | 2012-02-07 |
| 1528349156 | Genesis Healthcare Systems LLC | Specialist/Technologist | 1885 Leland Drive, Marietta, GA 30067 | 2011-09-09 |
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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.