Individual provider Active NPI

Shannon Janine Smith, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Decatur, GA
National Provider Identifier
1518153261
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
66325 Issued in GA
Practice address
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone
(877) 749-7428
Fax
(512) 628-3314
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 66325 GA
Physical Medicine & Rehabilitation Physician 208100000X 66325 GA Primary

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

450 N Candler St
Decatur, GA 30030-2626
Phone (404) 501-6136

Other practice location 2

1441 Clifton Rd NE
Atlanta, GA 30322-5918
Phone (404) 416-5512

Other identifiers 1

IdentifierTypeStateIssuer
003128924GMedicaidGA

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
I20120109000603 GA Practitioner - Physical Medicine and Rehabilitation 6800976267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.5 of 100Reported as group
Quality
45
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of Georgia P.C. Physical Medicine & Rehabilitation CurrentSince Mar 14, 2016 Accepting new patients
Dekalb Medical Center, Inc. Past Accepting new patients
University Orthopedic Associates, PLLC Past Accepting new patients
Dekalb Medical Psych Unit Past Accepting new patients
Southern Dermatology Medical LLC Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1441 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-5511

450 N Candler St
Decatur, GA 30030
Phone (404) 501-6100

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2121 Fountain Dr
Ste D
Snellville, GA 30078
Phone (770) 674-4888

616 FM 1960 Rd W
Ste 230
Houston, TX 77090
Phone (832) 484-8100

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

Interoperability endpoints

  • Direct secure messaging: ssmith68630@direct.emory.org
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00281

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1518153261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Candler St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302626",
            "country_code": "US",
            "telephone_number": "404-501-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303225918",
            "country_code": "US",
            "telephone_number": "404-416-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "GA",
            "license": "66325",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "66325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128924G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.