James Olvin Smith Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022703 Issued in GA

Practice address

800 W Thomas St
Milledgeville, GA 31061-2674

Phone

(478) 453-9346

Fax

(478) 453-0205

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAFJAD
• Direct secure messaging: james.smith@oconeeregional.gadirect.net

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.

• Oconee Family Medicine Center, PC

  • Family Medicine Physician
  • Milledgeville, GA
  • NPI 1578657821
  NPD Authorized official
• Oconee Regional Health Ventures, Inc

  • Internal Medicine Physician
  • Milledgeville, GA
  • NPI 1598832602
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1437209889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612674",
            "telephone_number": "478-453-9346",
            "fax_number": "478-453-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612674",
            "telephone_number": "478-453-9346",
            "fax_number": "478-453-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "OLVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00268782B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "022703",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleepmed Inc
• Crystal Sloan, RN
• Catherine Jill Smith, P.T.A.
• Evelyn Ash Smith, LCSW
• Heather Woodruff Smith, OT - R/L
• Laura Elizabeth Smith, PHARMD
• Macie L Smith
• Molly Cleveland Smith, D.M.D.
• Rachelle A Smith, NP
• Tamara Smith

• Family Medicine Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.