MEDICARE: JASON SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company	24227716	NC

General Provider Information

NPI Number	:	1497618722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SMITH

Provider Business Mailing Address
First Line	:	817 PUTNEY HILL RD
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-5551
Country	:	US
Telephone Number	:	833-487-9634
Fax Number	:

Provider Business Practice Location Address
First Line	:	817 PUTNEY HILL RD
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-5551
Country	:	US
Telephone Number	:	833-487-9634
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ JASON SMITH ” Practice Location

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