TRACEE LATASHIA SMITH JONES (PT) – Physical Therapist, NPI 1043894058

TRACEE LATASHIA SMITH JONES (PT) is a healthcare provider. based in Stonecrest, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. CP004768T (GA). The NPI Number for TRACEE LATASHIA SMITH JONES (PT) is 1043894058

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TRACEE LATASHIA SMITH JONES (PT)
NPI
1043894058
Phone
(678) 418-8072
Address
6000 HILLANDALE DR STE 145
Enumeration Date
6 May 2021
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8037495031
Graduation Year
2020 (6 years ago)
PAC ID
0648679209
Group Practice PAC ID
7315171394
Professional Enrollment ID
I20240401001033
Address ID
SC290632806IR7585XRDXX400
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

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for TRACEE LATASHIA SMITH JONES (PT)

  • 6000 HILLANDALE DR STE 145

    STONECREST, GA 300584860

    Phone: (678) 418-8072

    Fax: (678) 518-0137

    Mailing address matches the actual address.

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: 2024-04-01

PECOS data refreshed: 2026-05-27

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
I20240401001033IPhysical Therapist In Private PracticeSCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30058)

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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: 7315171394View full group profile
NameSpecialtyState
-SC
Physical Therapist In Private PracticeSC
-ME
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeSC
-PA
-SC
Occupational Therapist In Private PracticeSC

Reviews

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Frequently asked questions

What is the registry number for TRACEE LATASHIA SMITH JONES (PT)?
The registry entry for TRACEE LATASHIA SMITH JONES (PT) shows NPI 1043894058.
Quick check: is TRACEE LATASHIA SMITH JONES (PT) active?
Public NPPES data shows TRACEE LATASHIA SMITH JONES (PT) with an active NPI status right now.
What services align with TRACEE LATASHIA SMITH JONES (PT)'s listing?
TRACEE LATASHIA SMITH JONES (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TRACEE LATASHIA SMITH JONES (PT)?
TRACEE LATASHIA SMITH JONES (PT) is associated with Stonecrest, Georgia in the same public data insurers reference.
Who maintains TRACEE LATASHIA SMITH JONES (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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