NPIMap

Individual provider Active NPI

Robert Whitthorn Smith Jr., MD

  • Family Medicine Physician
  • Armuchee, GA
National Provider Identifier
1396730222
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040795 Issued in GA
Practice address
5470 Martha Berry Hwy NE
Armuchee, GA 30105-2302
Phone
(706) 235-1156
Fax
(706) 291-9391
NPI assigned
Sep 16, 2005
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040795 GA Primary

Addresses

Primary practice location

5470 Martha Berry Hwy NE
Armuchee, GA 30105-2302

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Other identifiers 2

IdentifierTypeStateIssuer
000749317CMedicaidGA
000749317DMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.smith.1@1498.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000065 GA Practitioner - Family Practice 3173542909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

2600 Compass Rd
Glenview, IL 60026-8001

504 Redmond Rd NW
Rome, GA 30165-1416
Phone (762) 235-3130

5470 Martha Berry Hwy NE
Armuchee, GA 30105-2302
Phone (762) 235-3830

550 Redmond Rd NW
Rome, GA 30165-1416
Phone (762) 235-3340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Jan 1, 2006 Accepting new patients
Harbin Clinic, LLC Family Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

5470 Martha Berry Hwy NE
Armuchee, GA 30105
Phone (706) 235-1156

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

Interoperability endpoints

  • Direct secure messaging: robert.smith.1@1498.direct.athenahealth.com
  • Direct secure messaging: rsmith3005258@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1396730222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 MARTHA BERRY HWY NE",
            "city": "ARMUCHEE",
            "state": "GA",
            "postal_code": "301052302",
            "telephone_number": "706-235-1156",
            "fax_number": "706-291-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "WHITTHORN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000749317C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000749317D",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.smith.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5470 Martha Berry Hwy NE",
            "city": "Armuchee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301052302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Armuchee, GA

Sources for this page

Verify at the official NPI Registry.