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Leslie Jackson Smith

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as LESLIE SMITH.

Based on the most recent information from CMS, provider Leslie Jackson Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1861243479
Provider Type
Individual
Full Name
Smith, Leslie Jackson
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/1/2024
Last Updated
4/26/2024

Contact Information

Practice Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Mailing Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 28512 South Carolina

Leslie Jackson Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Dawson, Jennie Lynn

Stepp, Lora

Nash, Jordan Emory

Williams-Bowens, Jean

Horne-Latimore, Tracey L.

Odum, Brianna Rhea

Turner, Marcia Ann

Laffey, Christopher

Banks, Samantha Philyaw

Thieme, Emily Rose