Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Baston Smith

Individual provider Medical Physician Assistant · NPI 1922945229

Jacob Baston Smith is a Medical Physician Assistant in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

705 Dixie St
Carrollton, GA 30117-3818
Phone: (770) 836-9597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (GA)

Record details

NPI number1922945229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address607 Valley Run Dr, Bremen, GA 30110-2413

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