NPIMap

Individual provider Active NPI

Jason Mark Nesmith, M.D.

  • Internal Medicine Physician
  • Cairo, GA
National Provider Identifier
1881858686
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66725 Issued in GA
Practice address
1090 5TH St SE
Cairo, GA 39828-3139
Phone
(229) 377-1100
Fax
(229) 584-5948
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL30322 AL
Internal Medicine Physician 207R00000X 66725 GA Primary

Addresses

Primary practice location

1090 5TH St SE
Cairo, GA 39828-3139

Mailing address

1090 5TH St SE
Cairo, GA 39828-3139
Phone (229) 377-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.nesmith.p17@direct.archbold.nextgenshare.com

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
I20120229000222 GA Practitioner - Internal Medicine 8820262728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grady General HospitalGroup PAC ID 7618866518, 31 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1090 5TH St SE
Cairo, GA 39828-3139
Phone (229) 377-1100

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 377-1150

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Archbold Home Health Services Home health agency, Thomasville, GA, CCN 117024
  • Centerwell Home Health Home health agency, Bainbridge, GA, CCN 117151
  • Hospice of Southwest Georgia Hospice, Thomasville, GA, CCN 111521
  • Georgia Hospice Care Hospice, Albany, GA, CCN 111773
  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Archbold Living Cairo Nursing home, Cairo, GA, CCN 115776

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Upper gastrointestinal (GI) endoscopy for acid reflux11
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL30322ALMDInternal Medicine Physician
66725GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archbold Medical Group, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Hospital Authority of Mitchell County CurrentSince Jan 1, 2020 Accepting new patients
Grady General Hospital CurrentSince Jun 1, 2012 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
John D Archbold Memorial Hospital Inc PastSince Oct 1, 2021 Accepting new patients
Grady General Hospital Past Accepting new patients
Hospital Authority of Mitchell County Past Accepting new patients

Locations

1090 5th St SE
Cairo, GA 39828
Phone (229) 377-1100

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

259 US Highway 19 N
Camilla, GA 31730
Phone (229) 227-1229

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Archbold Brooks SwingbedQuitman, GA, CCN 11Z332 Hospital Corporate Director Oct 1, 2021
Archbold GradyCairo, GA, CCN 110121 Hospital Corporate Director Oct 1, 2021
Archbold Grady SwingbedCairo, GA, CCN 11U121 Hospital Corporate Director Oct 1, 2021
Archbold MitchellCamilla, GA, CCN 111331 Hospital Corporate Director Oct 1, 2021
Archbold Mitchell SwingbedCamilla, GA, CCN 11Z331 Hospital Corporate Director Oct 1, 2021
Archbold MemorialThomasville, GA, CCN 110038 Hospital Corporate Director Oct 1, 2021
Archbold NorthsideThomasville, GA, CCN 11S038 Hospital Corporate Director Oct 1, 2021
Archbold Memorial RehabThomasville, GA, CCN 11T038 Hospital Corporate Director Oct 1, 2021
Archbold BrooksQuitman, GA, CCN 111332 Hospital Corporate Director Oct 1, 2021
Mitchell County Nursing HomesCamilla, GA, CCN 115266 Skilled nursing facility Corporate Director Oct 1, 2021
Archbold Living ThomasvilleThomasville, GA, CCN 115480 Skilled nursing facility Corporate Director Oct 1, 2021
Archbold Living CairoCairo, GA, CCN 115776 Skilled nursing facility Corporate Director
Adp of the SNF		 Oct 1, 2021
Jun 19, 2025
Archbold Pediatrics CamillaCamilla, GA, CCN 113474 Rural health clinic Corporate Director Oct 1, 2021
Archbold Primary Care CamillaCamilla, GA, CCN 118519 Rural health clinic Corporate Director Oct 1, 2021
Archbold Primary Care PelhamPelham, GA, CCN 118544 Rural health clinic Corporate Director Oct 1, 2021

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1881858686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283139",
            "telephone_number": "229-377-1100",
            "fax_number": "229-584-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283139",
            "telephone_number": "229-377-1100",
            "fax_number": "229-584-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESMITH",
        "first_name": "JASON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "AL30322",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "66725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.nesmith.p17@direct.archbold.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1090 5th St SE",
            "city": "Cairo",
            "state": "GA",
            "country_code": "US",
            "postal_code": "398283139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.