LEANN NICOLE SMOOT (PA-C) – Physician Assistant, NPI 1174930259

LEANN NICOLE SMOOT (PA-C) is a healthcare provider. based in Germantown, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for LEANN NICOLE SMOOT (PA-C) is 1174930259

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LEANN NICOLE SMOOT (PA-C)
NPI
1174930259
Phone
(901) 252-3400
Address
1325 WOLF PARK DR STE 103
Enumeration Date
21 July 2014
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012523400
Graduation Year
2014 (12 years ago)
PAC ID
0345562542
Group Practice PAC ID
7315832649
Professional Enrollment ID
I20230705002225
Address ID
TN381258835ME3145XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for LEANN NICOLE SMOOT (PA-C)

  • 1325 WOLF PARK DR STE 103

    GERMANTOWN, TN 381381759

    Phone: (901) 252-3400

    Fax: (901) 763-4305

    Type: Mailing

  • 1325 WOLF PARK DR STE 102

    GERMANTOWN, TN 381381759

    Phone: (901) 252-3400

    Fax: (901) 763-4305

    Type: Location

  • 267 ARBOR COMMONS CIR APT 206

    MEMPHIS, TN 381202689

    Phone: (731) 609-2570

    Type: Mailing

  • 4250 BETHEL RD

    OLIVE BRANCH, MS 386548737

    Phone: (731) 609-2570

    Type: Location

  • 125 Guthrie Dr

    Southaven, MS 386715829

    Phone: (901) 252-3400

    Fax: (901) 763-4305

    Type: Location

  • 3145 Players Club Pkwy

    Memphis, TN 381258835

    Phone: (901) 252-3400

    Fax: (901) 763-4305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,288.

Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: UROGEN PHARMA, INC. ($222).

Total Amount

$1,288

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141125000381IPhysician AssistantMSTBD
I20230705002225IPhysician AssistantTNTBD

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
82570Creatinine level to test for kidney function or muscle injury192124$0
81001Manual urinalysis test with examination using microscope, automated191123$0
99214Established patient office or other outpatient visit, 30-39 minutes149110$0
87482Detection test for candida species (yeast), quantification8378$0
87492Detection test by nucleic acid for chlamydia trachomatis, quantification8378$0
View full utilization report →

Insurance plans in this area (ZIP 38138)

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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: 7315832649View full group profile
NameSpecialtyState
Interventional RadiologyIN
-TN
U R O L O G YTN
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyFL
U R O L O G YTN
Physician AssistantTN
U R O L O G YTN
Physician AssistantTN
U R O L O G YMS
Physician AssistantTN

Reviews

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Frequently asked questions

How do payers reference LEANN NICOLE SMOOT (PA-C)?
For LEANN NICOLE SMOOT (PA-C), use NPI 1174930259 as the unique 10-digit identifier.
Is there an active status for LEANN NICOLE SMOOT (PA-C)?
For scheduling context, LEANN NICOLE SMOOT (PA-C) is shown as active in the registry.
What kind of doctor is LEANN NICOLE SMOOT (PA-C)?
LEANN NICOLE SMOOT (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Tennessee is LEANN NICOLE SMOOT (PA-C) registered?
Use Germantown, Tennessee as the headline location for LEANN NICOLE SMOOT (PA-C) here.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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