JENNIFER SMITH – Social Worker, NPI 1386009397

JENNIFER SMITH is a healthcare provider. based in Jasper, Georgia. specializing in CLINICAL SOCIAL WORKER. The NPI Number for JENNIFER SMITH is 1386009397

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SMITH
NPI
1386009397
Phone
(706) 253-1112
Address
323 ROLAND RD
Enumeration Date
17 December 2015
Last Update Date
17 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062705033
Graduation Year
2019 (7 years ago)
PAC ID
0941664718
Group Practice PAC ID
9032000245
Professional Enrollment ID
I20230912002840
Address ID
GA305405504EL1179XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for JENNIFER SMITH

  • 323 ROLAND RD

    JASPER, GA 301435336

    Phone: (706) 253-1112

    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: 2023-09-12

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
I20230912002840IClinical Social WorkerGATBD

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 30143)

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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: 9032000245View full group profile
NameSpecialtyState
P S Y C H I A T R YTN
Mental Health CounselorGA
Nurse PractitionerGA
Clinical Social WorkerGA
Mental Health CounselorGA
Clinical Social WorkerGA
-GA
-AL
Mental Health CounselorGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I verify JENNIFER SMITH with an NPI only?
You can start verification with NPI 1386009397 for JENNIFER SMITH, then check state licensing separately.
Does CMS list JENNIFER SMITH as active?
Yes — JENNIFER SMITH is active in the NPI listing used on this page.
What taxonomy line describes JENNIFER SMITH?
For research purposes, treat JENNIFER SMITH as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER SMITH list a practice location?
Patients near Jasper, Georgia may find JENNIFER SMITH in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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