NPIMap

Individual provider Active NPI

George M Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Sumter, SC
National Provider Identifier
1053370155
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6752 Issued in SC
Practice address
115 N Sumter St
Suite 200
Sumter, SC 29150-4968
Phone
(803) 775-8351
Fax
(803) 774-1512
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6752 SC Primary

Addresses

Primary practice location

115 N Sumter St
Suite 200
Sumter, SC 29150-4968

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other identifiers 2

IdentifierTypeStateIssuer
067527MedicaidSC
D055557124OtherSCMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000051 SC Practitioner - Obstetrics/Gynecology 6507815107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Obstetrics & Gynecology Current Accepting new patients
Tuomey Medical Professionals, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

115 N Sumter St
Ste 200
Sumter, SC 29150
Phone (803) 775-8351

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Musc Medical CenterCharleston, SC, CCN 420004 Hospital Corporate Director Jan 1, 2026
Musc Health Chester Medical CenterChester, SC, CCN 420019 Hospital Corporate Director (100%) Jan 1, 2026
Musc Health Marion Medical CenterMullins, SC, CCN 42U055 Hospital Corporate Director Jan 1, 2026
Musc Health Florence Medical CenterFlorence, SC, CCN 420091 Hospital Corporate Director (100%) Jan 1, 2026
Musc Health Marion Medical CenterMullins, SC, CCN 420055 Hospital Corporate Director Jan 1, 2026
Kershaw Medical CenterCamden, SC, CCN 420048 Hospital Corporate Director Jan 1, 2026
Columbia Medical Center DowntownColumbia, SC, CCN 420026 Hospital Corporate Director Jan 1, 2026
Musc Health Black River Medical CenterCades, SC, CCN 420117 Hospital Corporate Director Jan 1, 2026
Musc Health Chester Nursing CenterChester, SC, CCN 425061 Skilled nursing facility Corporate Director (100%) Jan 1, 2026

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Organizations & group practices 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1053370155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "SUITE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504968",
            "telephone_number": "803-775-8351",
            "fax_number": "803-774-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "6752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067527",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "D055557124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.