Individual provider Active NPI

Nicholas Craig Smith, DPM

  • Podiatrist
  • Columbus, GA
National Provider Identifier
1811127673
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001207 Issued in GA
Practice address
1013 Centre Brook Court
Suite B
Columbus, GA 31904-4573
Phone
(706) 653-5501
Fax
(706) 653-5504
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 135000690 IL
Podiatrist 213E00000X POD001207 GA Primary

Addresses

Primary practice location

1013 Centre Brook Court
Suite B
Columbus, GA 31904-4573

Mailing address

1013 Centre Brook CT
Suite B
Columbus, GA 31904-4573
Phone (706) 653-5501

Other identifiers 1

IdentifierTypeStateIssuer
0436482793000OtherGAEMPOLYER 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000839 GA Practitioner - Podiatry 5092963975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Foot and Ankle PCGroup PAC ID 2365337888, 2 clinicians

Practice addresses (Care Compare)

1013 Centre Brook CT
Suite B
Columbus, GA 31904-4564
Phone (706) 653-5501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue154
Removal of skin lesions50
Removal of nail tissue672
Removal or shaving of skin growth215
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001207GAMDPodiatrist
135000690ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Foot & Ankle PC Podiatrist CurrentSince Aug 5, 2012 Accepting new patients

Locations

1013 Centre Brook Ct
Ste B
Columbus, GA 31904
Phone (706) 653-5501

Organizations & group practices 1

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.

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1811127673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CENTRE BROOK CT",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044573",
            "telephone_number": "706-653-5501",
            "fax_number": "706-653-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CENTRE BROOK COURT",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044573",
            "telephone_number": "706-653-5501",
            "fax_number": "706-653-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "middle_name": "CRAIG",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135000690",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPOLYER ID",
            "identifier": "0436482793000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.