JONATHAN L SMITH (PA - C) – Physician Assistant, NPI 1346717295

JONATHAN L SMITH (PA - C) is a healthcare provider. based in Corbin, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA - C. They hold a License No. TC778 (KY). The NPI Number for JONATHAN L SMITH (PA - C) is 1346717295

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN L SMITH (PA - C)
NPI
1346717295
Phone
(606) 526-4449
Address
1 TRILLIUM WAY
Enumeration Date
30 October 2018
Last Update Date
12 November 2018

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
5025523879
Graduation Year
2018 (8 years ago)
PAC ID
4587908017
Group Practice PAC ID
2264874866
Professional Enrollment ID
I20181210002532
Address ID
KY405054877LE2277XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for JONATHAN L SMITH (PA - C)

  • Baptist Health Corbin, 1, Trillium Way, Corbin, Whitley County, Kentucky, 40701, United States

    CORBIN, KY 407018727

    Phone: (606) 526-4449

    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)

CMS reports 47 Open Payments records for all available years, with a total value of $895.

Total Amount is formed as General ($895) + Research ($0) + Ownership ($0) = $895.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($331).

Total Amount

$895

General + Research + Ownership

Payments

47

Total payment records

General Amount

$895

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-12-10

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
I20181210002532IPhysician AssistantKYTBD

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 40701)

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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: 2264874866View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What identifier follows JONATHAN L SMITH (PA - C) across health systems?
The NPI 1346717295 uniquely identifies JONATHAN L SMITH (PA - C) in U.S. healthcare data.
Should I treat JONATHAN L SMITH (PA - C) as an active provider?
Patients and plans typically see JONATHAN L SMITH (PA - C) as active in the national extract.
What services align with JONATHAN L SMITH (PA - C)'s listing?
JONATHAN L SMITH (PA - C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JONATHAN L SMITH (PA - C)?
JONATHAN L SMITH (PA - C) shows a connection to Corbin, Kentucky in registry-derived data.
Who maintains JONATHAN L SMITH (PA - C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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