Individual provider Active NPI

James Fentem Small III, MD

  • Obstetrics & Gynecology Physician
  • Statesboro, GA
National Provider Identifier
1962690099
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
072690 Issued in GA
Practice address
1501 Brampton Ave
Statesboro, GA 30458-0856
Phone
(912) 871-6206
Fax
(912) 681-8558
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 072690 GA Primary
Obstetrics & Gynecology Physician 207V00000X D89324 MD

Addresses

Primary practice location

1501 Brampton Ave
Statesboro, GA 30458-0856

Mailing address

1310 Brampton Ave
Statesboro, GA 30458-0851
Phone (912) 871-6206

Other practice location 1

1310 Brampton Ave
Statesboro, GA 30458-0851
Phone (912) 871-6206

Other practice location 2

5354 Reynolds St Ste 422
Savannah, GA 31405-6011
Phone (912) 354-2634

Other practice location 3

209C Mims Rd
Sylvania, GA 30467-1994
Phone (912) 871-6206

Other practice location 4

125B Victory Dr
Swainsboro, GA 30401-3234
Phone (912) 871-6206

Other identifiers 3

IdentifierTypeStateIssuer
20216I5739OtherGAMEDICARE
P01575019OtherRR MEDICARE
003150434BMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140926001342 GA Practitioner - Obstetrics/Gynecology 4789804675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogeechee OBGYN, P.C.Group PAC ID 0244211308, 6 clinicians

Practice addresses (Care Compare)

1501 Brampton Ave
Statesboro, GA 30458-0856
Phone (912) 871-6206

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072690GAMDObstetrics & Gynecology Physician
D89324MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S/Candler OB/GYN Practice, LLC Obstetrics & Gynecology CurrentSince Feb 25, 2025 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince May 13, 2023 Accepting new patients
Emanuel County Hospital Authority Current Accepting new patients
Colquitt Regional Surgery, LLC Past Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients
Karen L Fehr Dalessandromdpc Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

117 Kite Rd
Fl 2
Swainsboro, GA 30401
Phone (478) 289-1150

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • Direct secure messaging: james.small.1@24280.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1962690099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580851",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580856",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Brampton Ave",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580851",
            "country_code": "US",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5354 Reynolds St Ste 422",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056011",
            "country_code": "US",
            "telephone_number": "912-354-2634",
            "fax_number": "912-354-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209C Mims Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "GA",
            "postal_code": "304671994",
            "country_code": "US",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125B Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013234",
            "country_code": "US",
            "telephone_number": "912-871-6206",
            "fax_number": "912-681-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JAMES",
        "middle_name": "FENTEM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "072690",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D89324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20216I5739",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01575019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150434B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.