Individual provider Active NPI

Lewis M Smith, D.C.

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1346675600
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008539 Issued in GA
Practice address
6495 Shiloh Rd Ste A2-110
Alpharetta, GA 30005-1635
Phone
(770) 740-9200
Fax
(770) 752-5607
NPI assigned
Sep 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008539 GA Primary

Addresses

Primary practice location

6495 Shiloh Rd Ste A2-110
Alpharetta, GA 30005-1635

Mailing address

840 Spring Valley Dr
Cumming, GA 30041-6799
Phone (770) 740-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200523000059 GA Practitioner - Chiropractic 9739500018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Sports Medicine LLCGroup PAC ID 4981025269, 7 clinicians

Practice addresses (Care Compare)

6110 McFarland Station Dr
Suite 400
Alpharetta, GA 30004-6801
Phone (770) 851-9890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008539GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Sports Medicine LLC Chiropractor CurrentSince Apr 10, 2020 Accepting new patients

Locations

6110 McFarland Station Dr
Unit 400
Alpharetta, GA 30004
Phone (770) 851-9890

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1346675600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SPRING VALLEY DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416799",
            "telephone_number": "770-740-9200",
            "fax_number": "770-752-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 SHILOH RD STE A2-110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051635",
            "telephone_number": "770-740-9200",
            "fax_number": "770-752-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEWIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.