Individual provider Active NPI

Jason Bradford Smaha, DPM

  • Podiatrist
  • Macon, GA
National Provider Identifier
1457494239
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000836 Issued in GA
Practice address
1854 Forsyth St
Macon, GA 31201-1169
Phone
(478) 745-2600
Fax
(478) 742-5657
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000836 GA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 000836 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 000836 GA

Addresses

Primary practice location

1854 Forsyth St
Macon, GA 31201-1169

Mailing address

PO Box 4711
Macon, GA 31208-4711
Phone (478) 745-2600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414001311 GA Practitioner - Podiatry 0446416796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Foot and Ankle Centers LLCGroup PAC ID 9739177106, 2 clinicians

Practice addresses (Care Compare)

1854 Forsyth St
Macon, GA 31201-1169
Phone (912) 745-2600

230 Industrial Blvd
Dublin, GA 31021-2904
Phone (478) 745-2600

2811 Watson Blvd
Warner Robins, GA 31093-8576
Phone (478) 745-2600

Hospital & facility affiliations

  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot and Ankle Centers LLC Podiatrist CurrentSince Jan 1, 2000 Accepting new patients
Associated Foot and Ankle Ambulatory Surgery Center Inc Past Accepting new patients

Locations

230 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

1854 Forsyth St
Macon, GA 31201
Phone (478) 745-2600

1854 Forsyth St
Ste 1
Macon, GA 31201
Phone (478) 745-2600

192 Roberson Mill Rd NE
Milledgeville, GA 31061
Phone (478) 745-2600

2811 Watson Blvd
Warner Robins, GA 31093
Phone (478) 745-2600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECEFAA/Endpoint/ECEFAA

Organizations & group practices 2

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 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1457494239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4711",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084711",
            "telephone_number": "478-745-2600",
            "fax_number": "478-742-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011169",
            "telephone_number": "478-745-2600",
            "fax_number": "478-742-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMAHA",
        "first_name": "JASON",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000836",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "000836",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.