Jerry Lee Smith, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD26739 Issued in TN

Practice address

1 Siskin PLZ Ste 101
Chattanooga, TN 37403-1306

Phone

(423) 803-2226

Fax

(423) 803-2222

NPI assigned

Mar 27, 2006

Last updated

Aug 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 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

Merit-based Incentive Payment System (MIPS)

Final score

88.35 of 100Reported as group

Quality

85

Promoting interoperability

79

Improvement activities

40

Cost

78.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chattanooga Spine & Rehabilitation PLLC

  dba Siskin Physical Medicine & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1982859187

  GA

  Medicare reassignment NPD
• Chattanooga Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1891741971
  NPD (past)
• Occupational Alternative and Rehabilitative Services, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1487743449
  NPD (past)
• Southern Rehabilitation Group, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1609965656
  NPD (past)
• Tri-County Rehabilitation & Pain, LLC

  • Physical Medicine & Rehabilitation Physician
  • Fort Oglethorpe, GA
  • NPI 1770530644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1811957384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-803-2226",
            "fax_number": "423-803-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-803-2226",
            "fax_number": "423-803-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD0000026739",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "041960",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "MD26739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4126985",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10076869",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "376910",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsmith@spmr.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "Greenway PrimeSuite Direct E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Siskin Plz Ste 101",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374031306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Clifford Smith
• Janice L Smith, RN
• Jason Gregory Smith, MD
• Jennifer K Smith, D.C.
• Jeremiah Shane Smith, NP
• Jessica Allaway Smith, MD
• John Kevin Smith Jr., MD
• Jonathan Hillel Smith, LCSW
• Josh M Smith, MD
• Joshua Smith, LMSW

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.

Verify at the official NPI Registry.