Individual provider Active NPI

William Sean Smith, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1679582464
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
042731 Issued in GA
Practice address
1000 Johnson Ferry Road
Atlanta, GA 30342
Phone
(404) 851-6323
Fax
(404) 303-3747
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME19579 SC
Pediatric Radiology Physician 2085P0229X ME19579 SC
Diagnostic Radiology Physician 2085R0202X ME19579 SC
Vascular & Interventional Radiology Physician 2085R0204X ME19579 SC
Diagnostic Ultrasound Physician 2085U0001X ME19579 SC
Diagnostic Radiology Physician 2085R0202X 042731 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Road
Atlanta, GA 30342

Mailing address

5775 Glenridge Drive NE B525
Atlanta, GA 30328
Phone (678) 553-7783

Other identifiers 5

IdentifierTypeStateIssuer
1709OtherSCMEDICARE GROUP
G60366MedicaidSC
8683OtherSCMEDICARE GROUP
300073082OtherMEDICARE RR
1075168OtherFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070312000183 SC Practitioner - Diagnostic Radiology 6901909233 Reassigns benefits to 3 organizations
I20230816000968 OH Practitioner - Diagnostic Radiology 6901909233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-1650

8 Rowley St
Greenville, SC 29601-1616
Phone (843) 696-7877

8423 Market St
Suite 207
Boardman, OH 44512-6778
Phone (330) 729-7901

Hospital & facility affiliations

  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042731GAMDDiagnostic Radiology Physician
ME19579SCMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Aug 11, 2023 Accepting new patients
South Carolina Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Dec 4, 2023 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Dec 4, 2023 Accepting new patients
Piedmont Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
South Carolina Sports Medicine & Orthopaedic Center CurrentSince May 3, 2021 Accepting new patients
South Carolina Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Aug 11, 2023 Accepting new patients
Pelican II, LLC Body Imaging Past Accepting new patients
Triad Radiology Associates, PLLC Vascular & Interventional Radiology Past Accepting new patients
Charleston Radiologists PA Diagnostic Radiology Past Accepting new patients

Locations

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

471 E Broad St
Ste 1500
Columbus, OH 43215

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

8423 Market St
Ste 207
Youngstown, OH 44512
Phone (330) 729-7901

115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396

501 Roper Creek Dr
Greenville, SC 29615

220 Roper Mountain Road Ext
Greenville, SC 29615
Phone (864) 242-1163

684 N Pine St
Spartanburg, SC 29303
Phone (864) 542-0033

1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sean.smith.1@1516.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1679582464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 GLENRIDGE DRIVE NE B525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-553-7783",
            "fax_number": "678-553-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY ROAD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-851-6323",
            "fax_number": "404-303-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "ME19579",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "SC",
            "license": "ME19579",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "ME19579",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "ME19579",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "ME19579",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "042731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "1709",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G60366",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8683",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "300073082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1075168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.