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

Mr. Jeremiah Shane Smith, NP

Individual provider Acute Care Nurse Practitioner · NPI 1790039188

Mr. Jeremiah Shane Smith, NP is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2012, 14 years ago. Practices with Memorial Health Partners Foundation Inc, a 458-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

605 Glenwood Dr Ste 105 Chi Memorial Thoracic Oncology Associates
Chattanooga, TN 37404
Phone: (423) 495-5864
Fax: (423) 495-2065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 16902 (TN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APN0000016902 (TN)

Record details

NPI number1790039188
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Memorial Health Partners Foundation Inc — 458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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