Active NPI
Ryan Douglas Smith, M.D.
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1861925752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 85130
- Practice address
- 740 Ralph McGill Blvd NE
Atlanta, GA 30312-1118 - Phone
- (404) 251-1740
- Fax
- (404) 332-3384
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 85130 | GA | Primary |
Addresses
Primary practice location
740 Ralph McGill Blvd NE
Atlanta, GA 30312-1118
Mailing address
740 Ralph McGill Blvd NE
Atlanta, GA 30312-1118
Phone (404) 251-1740
Other practice location 1
4500 N Shallowford Rd
Suite B
Atlanta, GA 30338
Phone (404) 778-6920
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200518003151 | GA | Practitioner - Family Practice | 3476824178 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Emory University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Saint Joseph'S Hospital of Atlanta, Inc
- Emory University Hospital
- Emory University Hospital Midtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Family Medicine | Past | Accepting new patients |
| Emory Health Care | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- rsmith20168@direct.emory.org
Organizations & group practices 3
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.
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1861925752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 RALPH MCGILL BLVD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121118",
"telephone_number": "404-251-1740",
"fax_number": "404-332-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 RALPH MCGILL BLVD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121118",
"telephone_number": "404-251-1740",
"fax_number": "404-332-3384"
}
],
"practiceLocations": [
{
"address_1": "4500 N Shallowford Rd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30338",
"country_code": "US",
"telephone_number": "404-778-6920",
"fax_number": "404-778-6901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "RYAN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "85130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.