Individual provider Active NPI

Lauren Wooten Smith, MD

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1033734918
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11919 Issued in GA
Practice address
Chog Pediatric Residency Program 1120 15TH Street
Augusta, GA 30912-0001
Phone
(706) 832-2065
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11919 GA Primary

Addresses

Primary practice location

Chog Pediatric Residency Program 1120 15TH Street
Augusta, GA 30912-0001

Mailing address

2909 Henry St
Augusta, GA 30909-5236
Phone (706) 832-2065

Other practice location 1

411 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 854-2500

Other practice location 2

1303 Dantignac St Ste 2600
Augusta, GA 30901-2796
Phone (706) 854-2500

Other practice location 3

241 Meridian Dr
Grovetown, GA 30813-0260
Phone (706) 854-2500

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
I20200819004242 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2163848250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11919GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of Augusta, LLC Pediatrics PastSince Oct 22, 2023 Accepting new patients
Au Medical Associates Inc Past Accepting new patients
Melissa Jadick Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.smith.1@14928.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1033734918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HENRY ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095236",
            "telephone_number": "706-832-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHOG PEDIATRIC RESIDENCY PROGRAM 1120 15TH STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120001",
            "telephone_number": "706-832-2065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Town Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093487",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 Dantignac St Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012796",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 MERIDIAN DR",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308130260",
            "country_code": "US",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREN",
        "middle_name": "WOOTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "11919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.