Individual provider Active NPI

John Darrell Smith, MD

  • Cardiovascular Disease Physician
  • McDonough, GA
National Provider Identifier
1023054806
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036012 Issued in GA
Practice address
3333 Jodeco Road
Suite a
McDonough, GA 30253
Phone
(770) 692-4000
Fax
(770) 474-8510
NPI assigned
Jun 21, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036012 GA
Cardiovascular Disease Physician 207RC0000X 036012 GA Primary

Addresses

Primary practice location

3333 Jodeco Road
Suite a
McDonough, GA 30253

Mailing address

3333 Jodeco Road
Suite a
McDonough, GA 30253
Phone (770) 692-4000

Other practice location 1

11 Upper Riverdale Rd, SW
Riverdale, GA 30274-2615
Phone (770) 991-8130

Other identifiers 2

IdentifierTypeStateIssuer
00508626CMedicaidGA
00508626BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000309 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042111064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rutgers New Jersey Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Heart Associates PCGroup PAC ID 6204737216, 19 clinicians

Practice addresses (Care Compare)

3333 Jodeco Rd
Suite a
McDonough, GA 30253-5319
Phone (770) 692-4000

483 Upper Riverdale Rd SW
Suite C
Riverdale, GA 30274-2579
Phone (770) 907-9009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Henry Hospital, Inc. CurrentSince Feb 6, 1998 Accepting new patients
Pathlink of Georgia LLC Current Accepting new patients
Atlanta Heart Associates PC Cardiovascular Disease CurrentSince Jul 1, 1995 Accepting new patients

Locations

3333 Jodeco Rd
Ste A
McDonough, GA 30253
Phone (770) 692-4000

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

483 Upper Riverdale Rd SW
Ste C
Riverdale, GA 30274
Phone (770) 907-9009

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1023054806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 JODECO ROAD",
            "address_2": "SUITE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-692-4000",
            "fax_number": "770-474-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 JODECO ROAD",
            "address_2": "SUITE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-692-4000",
            "fax_number": "770-474-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Upper Riverdale Rd, SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742615",
            "country_code": "US",
            "telephone_number": "770-991-8130",
            "fax_number": "770-991-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "DARRELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-02-22",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036012",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "036012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508626C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508626B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.