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

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

Practice location Address checks out

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

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

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