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

Jacob Robert Smith, MD

Individual provider Family Medicine Physician · NPI 1417535360

Jacob Robert Smith, MD is a Sports Medicine in Fayetteville, Arkansas. Qualified in 2021, 5 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
5
Licensed in
AR, TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

201 W Van Asche Loop
Fayetteville, AR 72703-4996
Phone: (479) 966-4491
Fax: (479) 966-4311
Show map & directions

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

Additional practice locations (2)

  • 2601 Gene George Blvd, Springdale, AR 72762-0845 — (479) 425-6800
  • 1500 S Main St, Fort Worth, TX 76104-4917 — (817) 702-1244

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T9799 (TX)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence E-17976 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence E-17976 (AR)

Record details

NPI number1417535360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address4301 W Markham St # 783, Little Rock, AR 72205-7101

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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