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Active NPI 1417331059 Individual Practitioner Male Practitioner

John Wesley Smiddy , NP

Nurse Practitioner • Jacksboro, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Smiddy, NP is a certified Nurse Practitioner practicing in Jacksboro, TN. With approximately 11 years of clinical experience since completing medical education in 2015, John Smiddy delivers high-quality medical care to the local community at 2702 JACKSBORO PIKE.

John Smiddy is affiliated with Fast Pace Medical Clinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injections of trigger points in 1 or 2 muscles, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2702 Jacksboro Pike

Jacksboro, TN 377574850

Telephone 4232019937
Fax 4235674722
Associated Practice Facility / Clinic
🏢 Neighborhood Medical Llc Facility NPI 1780008656

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksboro, TN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs Matches City Avg
City Avg: 11.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Jacksboro, TN (2343 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smiddy (11 Years) 11 Yrs
Jacksboro Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
87 24 $110.00 $70.69
20552 Injections of trigger points in 1 or 2 muscles
51 11 $95.00 $40.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $145.00 $86.38

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN 20145

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Fast Pace Medical Clinic Pllc

165 Rutledge Pike, Blaine, TN 377092417

Phone: 8652638370

Practice Associates & Co-Workers

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

9 Associated Practitioners
Chelsea Thacker , PA-C

Physician Assistant

NPI 1124867130

Physician Assistant (Certified)

Katherine Gresham , FNP

Nurse Practitioner - Family

NPI 1225652720

Family Nurse Practitioner

Amy Young , FNP

Nurse Practitioner - Family

NPI 1326590175

Family Nurse Practitioner

Micaela Goebel , PA-C

Physician Assistant - Medical

NPI 1336617059

Physician Assistant (Certified)

Hannah Bunch , PA

Physician Assistant - Medical

NPI 1366153207

Physician Assistant

Jennifer Riley

Nurse Practitioner - Family

NPI 1447875166

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2015

Registered at 2702 JACKSBORO PIKE, JACKSBORO, TN 377574850 (Tel: 4232019937)

📍
Updated Business Mailing Address July 14, 2015

Registered at 2702 JACKSBORO PIKE, JACKSBORO, TN 377574850 (Tel: 4232019937)

👤
Provider Name / Credentials Updated July 14, 2015

Recorded as JOHN SMIDDY, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Nurse Practitioner (License #20145 in TN)

🟢
Initial NPI Registration & Enumeration July 14, 2015

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: 1417331059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2015
Last Update: July 14, 2015
Sole Proprietor: No

Mailing Address

2702 Jacksboro Pike

Jacksboro, TN 377574850

Phone: 4232019937

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.