Active NPI
Nathan Smith, MD
- Interventional Pain Medicine Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 77552
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003214027K | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29319 | OK | MD | Anesthesiology Physician |
| 77552 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Dpi of Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| The Interventional Spine and Pain Management Center PC | Interventional Pain Medicine | Current | Accepting new patients |
| The Interventional Spine and Pain Management Center, PC | Interventional Pain Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| CPM Labs, LLC | Current | Accepting new patients | |
| Newnan Surgery Center LLC | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Holdings LLC | Anesthesiology | Current | Accepting new patients |
| Southern Pain and Spine Associates LLC | Interventional Pain Medicine | Past | Accepting new patients |
| Sentry Anesthesia Management, LLC | Anesthesiology | Past | 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
- https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
- 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.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1407323199
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Ambulatory Surgical Clinic/Center
- Newnan, GA
- NPI 1740953447
-
dba Alliance Spine and Pain Centers
- Interventional Pain Medicine Physician
- Conyers, GA
- NPI 1518012004
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Clinical Medical Laboratory
- Roswell, GA
- NPI 1689945800
-
dba Alliance Spine and Pain Centers
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1447963608
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Columbus, GA
- NPI 1750369245
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.