Active NPI
James Deree Smith, M.D.
- Obstetrics & Gynecology Physician
- Savannah, GA
National Provider Identifier
1245247543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 16431
- Practice address
- 5354 Reynolds St Ste 422
Savannah, GA 31405-6011 - Phone
- (912) 355-5593
- Fax
- (912) 355-5404
- NPI assigned
- Aug 1, 2006
- Last updated
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16431 | GA | Primary |
Addresses
Primary practice location
5354 Reynolds St Ste 422
Savannah, GA 31405-6011
Mailing address
602 E 72ND St
Savannah, GA 31405-4913
Phone (912) 819-7878
Other practice location 1
5354 Reynolds St Ste 422
Savannah, GA 31405-6011
Phone (912) 355-5593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000517932D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16431 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D Smith MD PC | Single Specialty | Current | Accepting new patients |
| Karen L Fehr Dalessandromdpc | Single Specialty | Past | Accepting new patients |
Locations
5354 Reynolds St
Ste 225
Savannah, GA 31405
Phone (912) 352-7393
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1245247543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E 72ND ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054913",
"telephone_number": "912-819-7878",
"fax_number": "912-819-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5354 REYNOLDS ST STE 422",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056011",
"telephone_number": "912-355-5593",
"fax_number": "912-355-5404"
}
],
"practiceLocations": [
{
"address_1": "5354 Reynolds St Ste 422",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056011",
"country_code": "US",
"telephone_number": "912-355-5593",
"fax_number": "912-355-5404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "DEREE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "16431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000517932D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.