Dr Chaundrissa Morenike Smith, PHD - Medicare Psychologist in Jonesboro, GA

Dr Chaundrissa Morenike Smith, PHD is a medicare enrolled "Psychologist - Clinical" provider in Jonesboro, Georgia. She went to University Of South Carolina School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 603-3632.

Dr Chaundrissa Morenike Smith is licensed to practice in Georgia (license number PSY002979) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922026301.

Contact Information

Dr Chaundrissa Morenike Smith, PHD
2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236
(770) 603-3632
Not Available



Healthcare Provider's Profile

Full NameDr Chaundrissa Morenike Smith
GenderFemale
SpecialityClinical Psychologist
Experience19 Years
Location2400 Mt. Zion Parkway, Jonesboro, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Chaundrissa Morenike Smith attended and graduated from University Of South Carolina School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1922026301
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870594534
  • Enrollment ID: I20070123000379

Medical Identifiers

Medical identifiers for Dr Chaundrissa Morenike Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922026301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2979 (Georgia)Secondary
103TC0700XPsychologist - Clinical PSY002979 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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. Dr Chaundrissa Morenike Smith allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Dr Chaundrissa Morenike Smith 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 AddressPractice Location Address
Dr Chaundrissa Morenike Smith, PHD
3495 Piedmont Road, Ne, Nine Piedmont Center,
Atlanta, GA 30305

Ph: (404) 364-7070
Dr Chaundrissa Morenike Smith, PHD
2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center,
Jonesboro, GA 30236

Ph: (770) 603-3632

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Psychologist in Jonesboro, GA

Hannah Yael Paull,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236
Phone: 404-375-3328    
Dr. Shameka Rena Pointer,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 149 S Mcdonough St Ste 200, Jonesboro, GA 30236
Phone: 770-905-2517    
Dr. Julia Olivia Land, PSYD, CRC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236
Phone: 770-603-3649    Fax: 404-638-5293
Dr. Jeana Renee' Griffith, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2470 Mount Zion Pkwy, Jonesboro, GA 30236
Phone: 404-365-0966    Fax: 770-603-3993
Russell Farr Shearer Jr., PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 770-603-3632    
Ms. Rochelle C Bell,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 113 Chestnut St, Jonesboro, GA 30236
Phone: 770-891-2270    
Dr. Abby M Myers, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236
Phone: 770-603-3668    

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