Individual provider Active NPI

Brooks Smith Lide III, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1083777056
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
029714 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 525
Atlanta, GA 30318-2538
Phone
(043) 003-4944
Fax
(404) 350-8507
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 029714 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 525
Atlanta, GA 30318-2538

Mailing address

1800 Howell Mill Rd NW Ste 525
Atlanta, GA 30318-2538
Phone (404) 300-3494

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
I20100506000642 GA Practitioner - Internal Medicine 4183752470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Mdvip Medical Group Ga-AtlGroup PAC ID 5597021386, 9 clinicians

Practice addresses (Care Compare)

1720 Peachtree St NW
Suite 422
Atlanta, GA 30309-2448
Phone (404) 733-1936

1800 Howell Mill Rd NW
Suite 650
Atlanta, GA 30318-3188
Phone (404) 300-3494

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

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
Mdvip Medical Group Ga-Atl Internal Medicine CurrentSince Aug 23, 2017 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine PastSince Dec 29, 1995 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300

1800 Howell Mill Rd NW
Ste 525
Atlanta, GA 30318
Phone (404) 300-3494

1800 Howell Mill Rd NW
Ste 650
Atlanta, GA 30318
Phone (404) 300-3494

29444 Network Pl
Chicago, IL 60673

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.

Hospital & facility affiliations 6

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1083777056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-300-3494",
            "fax_number": "404-350-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "043-003-4944",
            "fax_number": "404-350-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDE",
        "first_name": "BROOKS",
        "middle_name": "SMITH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "029714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.