Active NPI
Ronnie R Smith, M. D.
- Internal Medicine Physician
- Vidalia, GA
National Provider Identifier
1669465670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017886
- Practice address
- 200 Maple Dr
Vidalia, GA 30474-8907 - Phone
- (912) 537-9851
- Fax
- (912) 537-9843
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017886 | GA | Primary |
Addresses
Primary practice location
200 Maple Dr
Vidalia, GA 30474-8907
Mailing address
PO Box 1367
200 Maple Drive
Vidalia, GA 30475-1367
Phone (912) 537-9851
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000144867A | Medicaid | GA | |
| 204764 | Other | GA | STATE HEALTH BENEFITS |
| 408113438 | Other | GA | RAILROAD MEDICARE |
| 581356947 | Other | GA | PRACTICE FEDERAL TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Maple Dr
Vidalia, GA 30474-8907
Phone (912) 537-9851
Hospital & facility affiliations
- Amedisys Home Health
- Chsga Home Health
- Adoration Home Health
- Community Hospice
- Memorial Health Meadows Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 76.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 63 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidalia Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
| The Endoscopy Center of Southeast Georgia, Inc | Past | Accepting new patients |
Interoperability endpoints
- ronnie.smith.p3@direct.vidaliamedical.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ronnie.smith.p1@direct.vidaliamedical.nextgenshare.com
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.
-
- Internal Medicine Physician
- Vidalia, GA
- NPI 1740450097
-
- Endoscopy Clinic/Center
- Vidalia, GA
- NPI 1265439830
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vidalia, GA
- NPI 1366627986
-
- Home Health Agency
- Vidalia, GA
- NPI 1851461735
-
- Home Health Agency
- Eastman, GA
- NPI 1588392526
-
- Community Based Hospice Care Agency
- Vidalia, GA
- NPI 1497832844
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1669465670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1367",
"address_2": "200 MAPLE DRIVE",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304751367",
"telephone_number": "912-537-9851",
"fax_number": "912-537-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAPLE DR",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748907",
"telephone_number": "912-537-9851",
"fax_number": "912-537-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RONNIE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "017886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000144867A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HEALTH BENEFITS",
"identifier": "204764",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "408113438",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICE FEDERAL TAX ID",
"identifier": "581356947",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.