Individual provider Active NPI

Nathan Smith, MD

  • Family Medicine Physician
  • Newnan, GA
National Provider Identifier
1376037697
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90043 Issued in GA
Practice address
2401 Newnan Crossing Blvd E Ste 200
Newnan, GA 30265-2409
Phone
(770) 400-7700
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.073201 IL
Family Medicine Physician 207Q00000X 90043 GA Primary

Addresses

Primary practice location

2401 Newnan Crossing Blvd E Ste 200
Newnan, GA 30265-2409

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

95 Morrison Moore Pkwy W Ste 100
Dahlonega, GA 30533-1588
Phone (770) 219-9475

Other practice location 2

2020 Ogden Ave Ste 330
Aurora, IL 60504-5897
Phone (630) 978-4850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsmith109125@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210903000812 GA Practitioner - Family Practice 9931456498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

2401 Newnan Crossing Blvd E
Suite 200
Newnan, GA 30265-2402
Phone (770) 254-6131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90043GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

95 Morrison Moore Pkwy W
Dahlonega, GA 30533
Phone (706) 864-3323

95 Morrison Moore Pkwy W
Ste 100
Dahlonega, GA 30533
Phone (770) 219-9475

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

2401 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (770) 254-6131

Organizations & group practices 3

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 5

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1376037697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NEWNAN CROSSING BLVD E STE 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652409",
            "telephone_number": "770-400-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Morrison Moore Pkwy W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331588",
            "country_code": "US",
            "telephone_number": "770-219-9475",
            "fax_number": "706-864-4484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Ogden Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605045897",
            "country_code": "US",
            "telephone_number": "630-978-4850",
            "fax_number": "630-978-6865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.073201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "90043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsmith109125@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "95 Morrison Moore Pkwy W Ste 100",
            "city": "Dahlonega",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305331588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.