Active NPI
Peter E Smith, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001537
- Practice address
- 1767 Rock Quarry Rd
Stockbridge, GA 30281-7303 - Phone
- (770) 474-4395
- Fax
- (770) 474-7861
- NPI assigned
- Aug 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC006676 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001537 | GA | Primary |
Addresses
Primary practice location
1767 Rock Quarry Rd
Stockbridge, GA 30281-7303
Mailing address
1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794
Phone (678) 902-0457
Other practice location 1
1380 Milstead Ave NE Ste B
Conyers, GA 30012-3864
Phone (770) 483-1100
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1767 Rock Quarry Rd
Stockbridge, GA 30281-7303
Phone (770) 474-4395
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Piedmont Henry Hospital
- Piedmont Rockdale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.6 of 100
- Quality
- 88.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 186 |
| Removal of nail tissue | 357 |
| Removal or shaving of skin growth | 143 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006676 | PA | MD | Podiatrist |
| POD001537 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle and Foot Centers of Georgia, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle and Foot Centers of Georgia, LLC | Podiatrist | Current | Accepting new patients |
| Ankle and Foot Center of Georgia,LLC | Podiatrist | Past | Accepting new patients |
| Primehealth of Kentucky LLC | Podiatrist | Past | Accepting new patients |
Locations
1380 Milstead Ave NE
Ste B
Conyers, GA 30012
Phone (770) 483-1100
7130 Mount Zion Blvd
Ste 13
Jonesboro, GA 30236
Phone (770) 478-3668
1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668
1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000
1767 Rock Quarry Rd
Stockbridge, GA 30281
Phone (770) 474-4395
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Peachtree City, GA
- NPI 1992003479
-
- Foot & Ankle Surgery Podiatrist
- Smyrna, GA
- NPI 1134462591
-
- Podiatrist
- Lagrange, GA
- NPI 1750436127
-
- Podiatrist
- Louisville, KY
- NPI 1922551308
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Douglasville, GA
- NPI 1437117090
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1386020832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 HIGHWAY 54 W STE 205",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694794",
"telephone_number": "678-902-0457",
"fax_number": "770-415-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 ROCK QUARRY RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817303",
"telephone_number": "770-474-4395",
"fax_number": "770-474-7861"
}
],
"practiceLocations": [
{
"address_1": "1380 Milstead Ave NE Ste B",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300123864",
"country_code": "US",
"telephone_number": "770-483-1100",
"fax_number": "770-483-5855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "PETER",
"middle_name": "E",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC006676",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.