Active NPI
Vinson A Smith, MD
- Orthopaedic Surgery Physician
- Roswell, GA
National Provider Identifier
1669477345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 056367
- Practice address
- 11650 Alpharetta Highway
Suite 100
Roswell, GA 30076 - Phone
- (404) 596-5670
- Fax
- (770) 338-8268
- NPI assigned
- Jun 17, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 056367 | GA | Primary |
Addresses
Primary practice location
11650 Alpharetta Highway
Suite 100
Roswell, GA 30076
Mailing address
11650 Alpharetta Highway
Suite 100
Roswell, GA 30076
Phone (404) 596-5670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 587777449 | Medicaid | GA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056367 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutton Orthopaedics & Sports Medicine PC | Current | Accepting new patients | |
| Sutton Orthopaedics & Sports Medicine, P.C. | Current | Accepting new patients |
Locations
500 Lanier Ave W
Ste 506
Fayetteville, GA 30214
Phone (770) 389-8386
145 Medical Blvd
Stockbridge, GA 30281
Phone (770) 386-8386
Interoperability endpoints
- vsmith@suttonortho.mdlogic.direct-ci.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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Stockbridge, GA
- NPI 1902822505
-
- Durable Medical Equipment & Medical Supplies
- Fayetteville, GA
- NPI 1962629360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1669477345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11650 ALPHARETTA HIGHWAY",
"address_2": "SUITE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "404-596-5670",
"fax_number": "770-338-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 ALPHARETTA HIGHWAY",
"address_2": "SUITE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "404-596-5670",
"fax_number": "770-338-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "VINSON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "056367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "587777449",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.