NPIMap

Individual provider Active NPI

Susan J Smith, MD

  • Family Medicine Physician
  • Ellijay, GA
National Provider Identifier
1871621474
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
030547 Issued in GA
Practice address
80 Cinema Drive
Ellijay, GA 30540-2592
Phone
(706) 635-6898
Fax
(706) 635-6885
NPI assigned
Mar 2, 2007
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 030547 GA Primary

Addresses

Primary practice location

80 Cinema Drive
Ellijay, GA 30540-2592

Mailing address

165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607

Other names 1

  • Dr. Susan Smith Stefaniuk Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104000746 GA Practitioner - Family Practice 1153414479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Emory University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1008 N 3Rd Ave
Chatsworth, GA 30705-2118
Phone (706) 517-2273

165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-4647

80 Cinema Dr
Ellijay, GA 30540-2592
Phone (706) 635-6898

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41060TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Health Services, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Georgia Mountains Health Services, Inc. Current Accepting new patients
Georgia Mountains Health Services, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Georgia Mountains Health Services, Inc. Past Accepting new patients
Georgia Mountains Health Services, Inc. PastSince Nov 1, 2021 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Georgia Mountains Health Services, Inc. Past Accepting new patients
Georgia Mountains Health Services, Inc. Past Accepting new patients

Locations

165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647

1008 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 517-2273

500 Green Rd
Chatsworth, GA 30705
Phone (706) 517-2200

134 Ansley Dr
Ste 700
Dahlonega, GA 30533
Phone (706) 701-5001

153 School Dr
Dahlonega, GA 30533
Phone (706) 701-5001

772 Maddox Dr
Ste 122
East Ellijay, GA 30540
Phone (706) 635-6898

Interoperability endpoints

  • Direct secure messaging: susan.smith.1@20104.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1871621474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BLUE RIDGE OVERLOOK",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134431",
            "telephone_number": "706-946-5607",
            "fax_number": "706-374-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CINEMA DRIVE",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305402592",
            "telephone_number": "706-635-6898",
            "fax_number": "706-635-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STEFANIUK",
            "middle_name": "SMITH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.