Active NPI
Lauren Wooten Smith, MD
- Pediatrics Physician
- Augusta, GA
National Provider Identifier
1033734918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200819004242 | GA | Order and Referring Only - Pediatric Medicine | 2163848250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11919 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Partners of Augusta, LLC | Pediatrics | Past | Accepting new patients |
| Au Medical Associates Inc | Past | Accepting new patients | |
| Melissa Jadick | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
- 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.
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Pediatrics Physician
- Augusta, GA
- NPI 1013927946
-
- Pediatrics Physician
- Evans, GA
- NPI 1417064924
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.