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Deactivated NPI 1154999530 Deactivated / Inactive NPI Male Practitioner

Jacob Smith , LMSW

Social Worker • Athens, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacob Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2021
NPI Deactivation Date October 26, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Jacob Smith, LMSW was a registered Social Worker practicing in Athens, GA. Throughout an active medical career spanning 1 years, Jacob Smith provided care at the practice location at 9249 HIGHWAY 29 S until profile deactivation on 2022-10-26.

Practice Location & Contact Primary Location

Practice Address

9249 Highway 29 S

Athens, GA 306016352

Telephone 7062274534

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
58 Specialists

Practicing in Athens, GA (2201 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License GA MSW008283

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Emily Gattiker , RD

Dietitian, Registered

NPI 1124840723

Registered Dietitian

NPI 1356865935

Doctor of Pharmacy (Pharm.D.), MSCR

Mi Cha , LCSW

Social Worker - Clinical

NPI 1437218849

Licensed Clinical Social Worker

Dr. Catherine Bourg , PharmD

Pharmacist - Pharmacotherapy

NPI 1770898868

Doctor of Pharmacy (Pharm.D.)

Dr. Paige Pittman , PsyD

Psychologist - Clinical

NPI 1861435315

Doctor of Psychology (Psy.D.)

Dr. Jihane Chaieb , PharmD

Pharmacist - Pharmacotherapy

NPI 1861860348

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Reactivated November 01, 2022

Record officially reactivated for active practice on November 01, 2022

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Updated Business Mailing Address November 01, 2022

Registered at 9249 HIGHWAY 29 S, ATHENS, GA 306016352 (Tel: 7067330188)

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NPI Profile Deactivated October 26, 2022

Record deactivated on October 26, 2022

NPI Profile Active June 14, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2021

Registered at 9249 HIGHWAY 29 S, ATHENS, GA 306016352 (Tel: 7062274534)

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Updated Business Mailing Address June 14, 2021

Registered at 105 TANYARD TRL, WATKINSVILLE, GA 306772468 (Tel: 7062964122)

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Provider Name / Credentials Updated June 14, 2021

Recorded as JACOB SMITH, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Social Worker (License #MSW008283 in GA)

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Initial NPI Registration & Enumeration June 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154999530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2021
Last Update: November 01, 2022
Deactivation Date: October 26, 2022
Sole Proprietor: No

Mailing Address

9249 Highway 29 S

Athens, GA 306016352

Phone: 7067330188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.