Individual provider Active NPI

Suzanne Patrice Smith, MD

  • Radiation Oncology Physician
  • Conyers, GA
National Provider Identifier
1487614574
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
48824 Issued in GA
Practice address
1293 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone
(770) 922-2012
Fax
(770) 922-8370
NPI assigned
Mar 24, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 48824 GA Primary

Addresses

Primary practice location

1293 Wellbrook Cir NE
Conyers, GA 30012-3873

Mailing address

PO Box 116470
Atlanta, GA 30368-6470
Phone (770) 682-2080

Other practice location 1

1100 Northside Forsyth Dr Ste 140
Cumming, GA 30041-6014
Phone (770) 292-7000

Other identifiers 1

IdentifierTypeStateIssuer
000900556FMedicaidGA

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
I20060222000032 GA Practitioner - Radiation Oncology 0547276008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

1100 Northside Forsyth Dr
Suite 140
Cumming, GA 30041-6014
Phone (770) 292-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48824GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiotherapy Clinics of Georgia,LLC Specialist CurrentSince Dec 29, 2006 Accepting new patients
North Atlanta Professional Services LLC Radiation Oncology CurrentSince Apr 1, 2025 Accepting new patients
Frank a Critz,MD Specialist Past Accepting new patients
Atlanta Oncology Associates, PC Specialist Past Accepting new patients
The Georgia Center for Total Cancer Care of Hillandale Specialist Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste B
Alpharetta, GA 30005
Phone (770) 442-1413

3330 Preston Ridge Rd
Ste 100
Alpharetta, GA 30005
Phone (770) 255-7500

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

791 Oak St
Ste 100
Atlanta, GA 30354

308 Deep South Farm Rd
Blairsville, GA 30512
Phone (678) 493-2527

460 Northside Cherokee Blvd
Ste T10
Canton, GA 30115
Phone (770) 479-1761

1293 Wellbrook Cir NE
Ste 100
Conyers, GA 30012

1293 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 682-2099

7174 Wheat St NE
Ste 100
Covington, GA 30014

1100 Northside Forsyth Dr
Ste 360
Cumming, GA 30041
Phone (678) 341-4812

1100 Northside Forsyth Dr
Ste 140
Cumming, GA 30041
Phone (720) 382-1012

2349 Lawrenceville Hwy
Ste 100
Decatur, GA 30033

2349 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 320-1550

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

791 Oak St
Hapeville, GA 30354
Phone (404) 601-2000

214 Perry Hwy
Hawkinsville, GA 31036
Phone (478) 783-4022

698 Duluth Hwy
Ste 100
Lawrenceville, GA 30046
Phone (770) 822-0788

311 Philip Blvd
Ste 100
Lawrenceville, GA 30046

311 Philip Blvd
Lawrenceville, GA 30046
Phone (770) 945-3000

308 Coliseum Dr
Ste 100
Macon, GA 31217
Phone (478) 742-2278

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1770 Presidential Cir
Ste 100
Snellville, GA 30078

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1487614574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686470",
            "telephone_number": "770-682-2080",
            "fax_number": "678-579-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123873",
            "telephone_number": "770-922-2012",
            "fax_number": "770-922-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Northside Forsyth Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416014",
            "country_code": "US",
            "telephone_number": "770-292-7000",
            "fax_number": "770-292-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUZANNE",
        "middle_name": "PATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "48824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000900556F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.