MEDICARE: JODY 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	237700000X	Hearing Instrument Specialist	HADE035466	GA

General Provider Information

NPI Number	:	1831041987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY SMITH

Provider Business Mailing Address
First Line	:	227 MARKET PLACE CONNECTOR
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3542
Country	:	US
Telephone Number	:	770-487-9030
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 MARKET PLACE CONNECTOR
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3542
Country	:	US
Telephone Number	:	770-487-9030
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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