Individual provider Active NPI

Christopher Gordon Smith, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
National Provider Identifier
1174985196
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
85621 Issued in GA
Practice address
677 Church St NE
Marietta, GA 30060-1101
Phone
(770) 793-5913
Fax
(770) 999-2445
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R4176 KY
Obstetrics & Gynecology Physician 207V00000X 85621 GA Primary

Addresses

Primary practice location

677 Church St NE
Marietta, GA 30060-1101

Mailing address

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5913

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csmith613621@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200622002417 GA Practitioner - Obstetrics/Gynecology 7618241332
I20210722003887 KY Practitioner - Obstetrics/Gynecology 7618241332 Reassigns benefits to 1 organization
I20250409000296 SC Practitioner - Obstetrics/Gynecology 7618241332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring View Physician Practices LLCGroup PAC ID 3476557000, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

320 N Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 692-5152

330 N Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 699-4638

330 N Loretto Rd
Lebanon, KY 40033-1308
Phone (270) 699-2229

420 N Loretto Rd
Lebanon, KY 40033-1634
Phone (270) 692-5139

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85621GAMDObstetrics & Gynecology Physician
R4176KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring View Physician Practices, LLC CurrentSince Jul 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Spring View Physician Practices, LLC Obstetrics & Gynecology Current Accepting new patients
Kraemer Womens Care, LLC Obstetrics & Gynecology CurrentSince Jan 27, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Feb 15, 2025 Accepting new patients
Spring View Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
Cobb Hospital, Inc Past Accepting new patients
Spring View Hospital LLC Past Accepting new patients

Locations

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

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

330 N Loretto Rd
Lebanon, KY 40033
Phone (270) 699-2229

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

330 N Loretto Rd
Ste 500A
Lebanon, KY 40033
Phone (270) 699-2229

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

1301 Pleasant Valley Rd
Ste 300
Owensboro, KY 42303
Phone (270) 417-7700

1333 Taylor St
Ste 2D
Columbia, SC 29201
Phone (803) 254-1300

114 Gateway Corporate Blvd
Ste 120
Columbia, SC 29203
Phone (803) 438-3800

Taylor At Marion
Columbia, SC 29220
Phone (800) 948-3440

700 Gervais St
Ste 125
Columbia, SC 29201

3221 Sunset Blvd
Ste A
West Columbia, SC 29169
Phone (803) 798-7660

3221 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-1170

Interoperability endpoints

  • Direct secure messaging: christopher.smith.1@30070.direct.athenahealth.com
  • Direct secure messaging: csmith833521@direct.ghs.myhfn.org

Organizations & group practices 8

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 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1174985196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-793-5913",
            "fax_number": "770-999-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-793-5913",
            "fax_number": "770-999-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "R4176",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "85621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmith613621@directwellstar.org",
            "affiliation": "N",
            "address_1": "677 Church St NE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.