Individual provider Active NPI

Igor Smelyansky, M.D.

  • Neurology Physician
  • Roswell, GA
National Provider Identifier
1295818409
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
101776 Issued in GA
Practice address
1357 Hembree Rd Ste 220
Roswell, GA 30076-5722
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 101776 GA
Neurology Physician 2084N0400X 101776 GA Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 47683 TN

Addresses

Primary practice location

1357 Hembree Rd Ste 220
Roswell, GA 30076-5722

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

100 Liberty Blvd Ste 210
Canton, GA 30114-2852
Phone (770) 962-3642

Other practice location 2

6348 Lonas Spring Dr
Knoxville, TN 37909-2719
Phone (865) 337-5137 ext. 224

Other identifiers 1

IdentifierTypeStateIssuer
1524684MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20110718000272 TN Practitioner - NeurologyPractitioner - Pain Management 4587659503 Reassigns benefits to 1 organization
I20251004000216 GA Practitioner - Pain Management 4587659503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Wayne State University School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness Center 53 clinicians
Omega Pain Management, PC 3 clinicians

Practice addresses (Care Compare)

1357 Hembree Rd
Suite 220
Roswell, GA 30076-5722
Phone (770) 962-3642

6348 Lonas Spring Dr
Knoxville, TN 37909-2719
Phone 8653375137224

Hospital & facility affiliations

  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101776GAMDNeurology Physician
47683TNMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Internal Medicine P.C. CurrentSince Nov 6, 2013 Accepting new patients
Omega Pain Management, PC Pain Medicine CurrentSince Jan 7, 2014 Accepting new patients
Ambulatory Care Center of Wartburg Primary Care LLC Current Accepting new patients
Georgia Pain and Wellness Center Pain Medicine CurrentSince Sep 29, 2025 Accepting new patients
Georgia Pain and Wellness Center Pain Medicine CurrentSince Sep 29, 2025 Accepting new patients
Vital Medical Diagnostics,PC PastSince May 1, 2015 Accepting new patients
Midstate Medical Associates PLLC Past Accepting new patients
Cumberland Spine & Sport, LLC Pain Medicine Past Accepting new patients
Georgia Pain and Wellness Center Pain Medicine Past Accepting new patients
Yonkers Medical Diagnostic,PC Past Accepting new patients
Sel Medical PC Past Accepting new patients
Tennessee Innovative Medical Services PLLC Past Accepting new patients
Georgia Pain and Wellness Center Past Accepting new patients
Synergy Health Systems, PLLC Past Accepting new patients

Locations (25 of 39)

1008 Druid Park Ave
Ste 101
Augusta, GA 30904

3825 Medical Park Dr
Ste 301
Austell, GA 30106
Phone (770) 739-9971

5670 Old Winder Hwy
Ste 103
Braselton, GA 30517

1255 Friendship Rd
Ste 150
Braselton, GA 30517

4700 Nelson Brogdon Blvd
Ste 125
Buford, GA 30518
Phone (470) 242-0725

100 Liberty Blvd
Ste 210
Canton, GA 30114

300 Courtyard Dr SE
#B
Cartersville, GA 30120
Phone (404) 386-1076

1846 Warm Springs Rd
Ste 101
Columbus, GA 31904

215 Mercer Pl
Commerce, GA 30529
Phone (706) 335-7793

592 Ridgeway Rd
Commerce, GA 30529

1501 Milstead Rd NE
Ste 190
Conyers, GA 30012
Phone (770) 760-9900

4119 Tate St NE
Covington, GA 30014
Phone (770) 784-3862

1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003

1504 N Thornton Ave
Ste 103
Dalton, GA 30720
Phone (706) 278-5275

6002 Highway 53 E
Ste 120
Dawsonville, GA 30534

484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057

5100 Pierce Ct
Ste A2
Evans, GA 30809

1260 Highway 54 W
Ste 202
Fayetteville, GA 30214
Phone (770) 461-2124

1485 Jesse Jewell Pkwy NE
Ste 310
Gainesville, GA 30501

49 Gordon Rd
Ste 101
Jasper, GA 30143
Phone (678) 866-3637

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

870 Crestmark Dr
Ste 201
Lithia Springs, GA 30122
Phone (770) 739-5242

7660 Covington Hwy
Lithonia, GA 30058
Phone (770) 482-2964

4800 Olde Towne Pkwy
Ste 110
Marietta, GA 30068
Phone (678) 297-9707

39C Oak Hill Ct
Ste 101
Newnan, GA 30265

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1295818409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765722",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Liberty Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301142852",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6348 Lonas Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092719",
            "country_code": "US",
            "telephone_number": "865-337-5137 x224",
            "fax_number": "888-839-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMELYANSKY",
        "first_name": "IGOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "101776",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "101776",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TN",
            "license": "47683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524684",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.