Active NPI
Benjamin Smith, D.O.
- Family Medicine Physician
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 077315
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 272-6000
- NPI assigned
- May 16, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 077315 | GA | Primary |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
Other practice location 1
21 Commerce Pkwy
Adairsville, GA 30103-2009
Phone (770) 773-9201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003158924D | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bdsmith@hamilton.cernerdirect.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
Hospital & facility affiliations
- Hamilton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Adventist Health System Georgia Inc | Current | Accepting new patients |
Locations
21 Commerce Pkwy
Adairsville, GA 30103
Phone (770) 769-4547
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
Interoperability endpoints
- bsmith18986@hhcs.direct-ci.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.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1043621642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-272-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-272-6000"
}
],
"practiceLocations": [
{
"address_1": "21 Commerce Pkwy",
"address_purpose": "LOCATION",
"city": "Adairsville",
"state": "GA",
"postal_code": "301032009",
"country_code": "US",
"telephone_number": "770-773-9201",
"fax_number": "770-773-9219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BENJAMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2021-04-29",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "077315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003158924D",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bdsmith@hamilton.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1200 Memorial Dr",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307202529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.