Provider Demographics
NPI:1457143869
Name:SMARTT FAMILY MEDICINE LLC
Entity type:Organization
Organization Name:SMARTT FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMARTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-607-2623
Mailing Address - Street 1:PO BOX 7252
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37111-7252
Mailing Address - Country:US
Mailing Address - Phone:931-507-2626
Mailing Address - Fax:615-624-9168
Practice Address - Street 1:140 VO TECH DR STE 4
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1329
Practice Address - Country:US
Practice Address - Phone:931-507-2626
Practice Address - Fax:615-624-9168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty