Stephanie J Smith, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

039472 Issued in GA

Practice address

1250 Jesse Jewell Pkwy SE Ste 200
Gainesville, GA 30501-3865

Phone

(770) 297-7277

NPI assigned

Jun 30, 2006

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in 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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Meharry Medical College School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radius Anesthesia of Georgia LLCGroup PAC ID 2567897127, 9 clinicians

South Georgia Spine and Joint Center, LLCGroup PAC ID 5294862090, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/AJIAAA
• Direct secure messaging: stephanie.smith.p1@direct.precisionspinecare.nextgenshare.com
• Direct secure messaging: stephanie.smith.p2@direct.precisionspinecare.nextgenshare.com
• Direct secure messaging: stephanie.smith.p3@direct.precisionspinecare.nextgenshare.com
• Direct secure messaging: stephanie.smith.p4@direct.precisionspinecare.nextgenshare.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Family Health Centers of Georgia, Inc

  dba The Family Health Center @ Cobb

  • Federally Qualified Health Center (FQHC)
  • Marietta, GA
  • NPI 1285727396

  Corporate Officer

  CMS ownership
• The Family Health Centers of Georgia, Inc

  dba The Family Health Center at West End

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1720080989

  Corporate Director

  CMS ownership
• The Family Health Centers of Georgia, Inc

  dba McDonough Children's Specialist

  • Federally Qualified Health Center (FQHC)
  • McDonough, GA
  • NPI 1982489555

  Corporate Director

  CMS ownership

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.

• Radius Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1861996225
  Medicare reassignment Care Compare group NPD
• South Georgia Spine and Joint Center, LLC

  dba South Georgia Spine and Joint Center

  • Family Medicine Physician
  • Thomasville, GA
  • NPI 1770815250
  Medicare reassignment Care Compare group NPD
• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• Interventional Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1295531002
  Medicare reassignment NPD
• Non-Surgical Orthopaedics PC

  • Specialist
  • Marietta, GA
  • NPI 1871656561
  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794

  Pain Medicine

  Medicare reassignment NPD
• Southeastern Interventional Pain Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Atlanta, GA
  • NPI 1588992069
  Medicare reassignment NPD
• Specialty Spine and Pain PC

  • Specialist
  • Gainesville, GA
  • NPI 1447359112
  Medicare reassignment NPD
• Anesthesia Services of Atlanta LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1124657465
  NPD
• Non-Surgical Orthopaedics PC

  • Specialist
  • Conyers, GA
  • NPI 1336929157

  Pain Medicine

  NPD
• South Georgia Spine and Joint Center, LLC

  dba South Georgia Spine and Joint Center

  • Pain Medicine Physician
  • Bainbridge, GA
  • NPI 1114301611
  NPD
• Specialty Spine and Pain PC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1063053171
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1255369732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "954-839-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE STE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013865",
            "telephone_number": "770-297-7277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300450000",
            "country_code": "US",
            "telephone_number": "770-277-3056",
            "fax_number": "678-312-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "039472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000824271B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00824271A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Smith, DPT
• Monica Jackson Smith, LCSW
• Patricia M Smith, LPC, CPCS
• Rodney Lewis Smith, MD
• Sophia Loraine Smith, AGACNP
• Terry Smith
• Deborah Jean Sneed I, LCSW
• Julie Urda Sneed, OTR
• SNH Georgia Tenant LLC (Morningside of Gainesville)
• Kim Grace Snider

• Pain Medicine (Anesthesiology) Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.