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

Jacqueline Smith

Individual provider Physician Assistant · NPI 1336667385

Jacqueline Smith is a Physician Assistant in Decatur, Georgia. Qualified in 2017, 9 years ago. Practices with Cep America LLC, a 985-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone: (404) 501-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 — (404) 501-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8598 (GA)

Record details

NPI number1336667385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESMarch 17, 2018
Mailing address2260 Rockwell Dr, Buford, GA 30519-6440

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Decatur