Mr Kody Jacob Smitherman, FNP in Maryville, TN

Mr Kody Jacob Smitherman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Tennessee. His current practice location is 1012 Jamestown Way, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (872) 231-3162.

Mr Kody Jacob Smitherman is licensed to practice in Tennessee (license number 31220) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811643844.

Contact Information

	Mr Kody Jacob Smitherman, FNP
	1012 Jamestown Way, Maryville, TN 37803-5865
	(872) 231-3162
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kody Jacob Smitherman
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1012 Jamestown Way, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811643844
Provider Enumeration Date: 02/28/2022
Last Update Date: 10/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5496137259
Enrollment ID: I20220727000752

Medical Identifiers

Medical identifiers for Mr Kody Jacob Smitherman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811643844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31220 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kody Jacob Smitherman allows following entities to bill medicare on his behalf.

Entity Name	Blount Memorial Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kody Jacob Smitherman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kody Jacob Smitherman, FNP Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595	Mr Kody Jacob Smitherman, FNP 1012 Jamestown Way, Maryville, TN 37803-5865 Ph: (872) 231-3162

Reviews and Comments

Nurse Practitioner Nurses in Maryville, TN

Mrs. Kellie R. Gaby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444
Christina Marie Valentin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4796
Dalya Tobea Frank, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Alyssa R. Atchley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 Jamestown Way, Maryville, TN 37803 Phone: 865-246-2104 Fax: 865-246-2106
Jamie B Monger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5200 Fax: 865-980-5201
Ms. Alyssa Luigart Musser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5060 Fax: 865-980-5066
Jessica Rop, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Cherokee Professional Park, Maryville, TN 37804 Phone: 865-980-5200 Fax: 865-246-2106

Mr Kody Jacob Smitherman, FNP - Medicare Nurse Practitioner in Maryville, TN