JESSICA DIANE SMITH (PT, DPT) – Physical Therapist, NPI 1639781412

JESSICA DIANE SMITH (PT, DPT) is a healthcare provider. based in Birmingham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT014894 (GA). The NPI Number for JESSICA DIANE SMITH (PT, DPT) is 1639781412

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA DIANE SMITH (PT, DPT)
NPI
1639781412
Phone
(423) 238-7217
Address
1200 CORPORATE DR STE 400
Enumeration Date
21 August 2020
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347995853
Graduation Year
2020 (6 years ago)
PAC ID
5496165284
Group Practice PAC ID
0547509374
Professional Enrollment ID
I20201105002786
Address ID
GA302244216GR680XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for JESSICA DIANE SMITH (PT, DPT)

  • 1200 CORPORATE DR STE 400

    BIRMINGHAM, AL 352425424

    Phone: (423) 238-7217

    Fax: (423) 238-3473

    Type: Mailing

  • 10 VILLAGE WEST DR STE A

    SENOIA, GA 302763549

    Phone: (678) 723-4415

    Fax: (678) 723-4416

    Type: Location

  • 680 S 9TH ST STE A

    GRIFFIN, GA 302244216

    Phone: (770) 229-6141

    Fax: (770) 229-6142

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201105002786IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes909163$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes743143$0
97530Therapy procedure using functional activities555149$0
97150Therapy procedure in a group setting18796$0
97140Therapy procedure using manual technique, each 15 minutes10252$0
View full utilization report →

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547509374View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-TN
Physical Therapist In Private PracticeGA

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Frequently asked questions

How do I look up JESSICA DIANE SMITH (PT, DPT) by NPI?
Use NPI 1639781412 when you need to reference JESSICA DIANE SMITH (PT, DPT) in forms, claims, or directories.
Is JESSICA DIANE SMITH (PT, DPT)'s NPI currently valid?
The extract we use shows JESSICA DIANE SMITH (PT, DPT) as active.
Can you summarize JESSICA DIANE SMITH (PT, DPT)'s specialty in plain language?
Clinically, the directory lists JESSICA DIANE SMITH (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JESSICA DIANE SMITH (PT, DPT)?
The snapshot lists Birmingham, Alabama for JESSICA DIANE SMITH (PT, DPT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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