Individual provider Active NPI

Nathan Smith, MD

  • Interventional Pain Medicine Physician
  • Athens, GA
National Provider Identifier
1174884662
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
77552 Issued in GA
Practice address
1500 Olgethorpe Ave BLDG 500
Ste a
Athens, GA 30606-2179
Phone
(678) 971-4167
Fax
(833) 989-2501
NPI assigned
May 31, 2012
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 29319 OK
Interventional Pain Medicine Physician 208VP0014X 77552 GA Primary

Addresses

Primary practice location

1500 Olgethorpe Ave BLDG 500
Ste a
Athens, GA 30606-2179

Mailing address

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone (405) 271-4351

Other practice location 1

750 NE 13th St
Oklahoma City, OK 73104-5010
Phone (405) 271-4351

Other practice location 2

601 Broad Street SE
Ste B
Gainesville, GA 30501
Phone (678) 971-4167

Other identifiers 1

IdentifierTypeStateIssuer
003214027KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170802002864 OK Practitioner - Anesthesiology 3173894532 Reassigns benefits to 3 organizations
I20190208003138 GA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 3173894532 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29319OKMDAnesthesiology Physician
77552GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2017 Accepting new patients
Dpi of Georgia, LLC Anesthesiology CurrentSince Aug 19, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
The Interventional Spine and Pain Management Center PC Interventional Pain Medicine CurrentSince Jul 13, 2021 Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Jul 13, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
CPM Labs, LLC Current Accepting new patients
Newnan Surgery Center LLC CurrentSince Oct 5, 2023 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2017 Accepting new patients
Integral Anesthesia, LLC Anesthesiology CurrentSince May 10, 2025 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Nov 13, 2018 Accepting new patients
Southern Pain and Spine Associates LLC Interventional Pain Medicine PastSince May 16, 2022 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology PastSince Nov 3, 2022 Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

3400 Chapel Hill Rd
Douglasville, GA 30135
Phone (404) 973-8920

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3231 Highway 34 E
Ste B
Newnan, GA 30265
Phone (678) 971-4227

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nsmith294563@directwellstar.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1174884662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-271-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OLGETHORPE AVE BLDG 500",
            "address_2": "STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "678-971-4167",
            "fax_number": "833-989-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045010",
            "country_code": "US",
            "telephone_number": "405-271-4351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Broad Street SE",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "678-971-4167",
            "fax_number": "833-989-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "29319",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "77552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003214027K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.