Individual provider Active NPI

John Gabriel Smith, MD

  • Psychiatry Physician
  • Austell, GA
National Provider Identifier
1609396035
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
92379 Issued in GA
Practice address
1625 Hospital North Dr Ste 150
Austell, GA 30106-8111
Phone
(470) 732-6950
Fax
(770) 739-0138
NPI assigned
Jun 27, 2017
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 51354 SC
Psychiatry Physician 2084P0800X 92379 GA Primary
Psychiatry Physician 2084P0800X MD51354 SC
Psychiatry Physician 2084P0800X 2021-00950 NC

Addresses

Primary practice location

1625 Hospital North Dr Ste 150
Austell, GA 30106-8111

Mailing address

3950 Austell Rd
Austell, GA 30106-1121
Phone (470) 732-6570

Other practice location 1

3950 Austell Rd
Austell, GA 30106-1121
Phone (470) 732-6570

Other practice location 2

169 Ashley Ave
Charleston, SC 29425-8905
Phone (843) 792-9888

Other practice location 3

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 394-6722

Other practice location 4

2777 Speissegger Dr
North Charleston, SC 29405-8229
Phone (843) 747-5830

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jsmith515206@directwellstar.org Health Information Exchange (HIE)
Direct Messaging Address jsmith515206@directwellstar.org
Direct Messaging Address jsmith732395@direct.UNC.nchie.net Direct

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
I20220728001519 GA Practitioner - Psychiatry 0446526446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92379GAMDPsychiatry Physician
MD51354SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Healing Center of Georgia LLC CurrentSince Apr 14, 2024 Accepting new patients
Wellstar Medical Group, LLC Multi-Specialty Current Accepting new patients
Inner Community Health Multi-Specialty CurrentSince Jul 23, 2023 Accepting new patients
Cobb Hospital, Inc Multi-Specialty Past Accepting new patients
Lowcountry Wellness Center LLC Multi-Specialty PastSince Sep 10, 2017 Accepting new patients

Locations

1899 Powers Ferry Rd SE
Ste 375
Atlanta, GA 30339
Phone (470) 835-5116

2180 Satellite Blvd
Ste 400
Duluth, GA 30097
Phone (678) 640-7247

10700 Medlock Bridge Rd
Ste 104
Johns Creek, GA 30097
Phone (770) 476-9885

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554

Interoperability endpoints

  • Direct secure messaging: jsmith732395@direct.unc.nchie.net

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

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1609396035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "470-732-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 HOSPITAL NORTH DR STE 150",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068111",
            "telephone_number": "470-732-6950",
            "fax_number": "770-739-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Austell Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061121",
            "country_code": "US",
            "telephone_number": "470-732-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455720",
            "country_code": "US",
            "telephone_number": "828-394-6722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2777 Speissegger Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058229",
            "country_code": "US",
            "telephone_number": "843-747-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "51354",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "92379",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD51354",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2021-00950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsmith515206@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3950 Austell Rd",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301061121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsmith515206@directwellstar.org",
            "affiliation": "N",
            "address_1": "1625 Hospital North Dr Ste 150",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301068111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsmith732395@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.