Active NPI
James Fentem Small III, MD
- Obstetrics & Gynecology Physician
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 072690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20216I5739 | Other | GA | MEDICARE |
| P01575019 | Other | RR MEDICARE | |
| 003150434B | Medicaid | GA |
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
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
Practice addresses (Care Compare)
1501 Brampton Ave
Statesboro, GA 30458-0856
Phone (912) 871-6206
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072690 | GA | MD | Obstetrics & Gynecology Physician |
| D89324 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S/Candler OB/GYN Practice, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Georgia, P.C. | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Statesboro, GA
- NPI 1033324629
-
- Obstetrics & Gynecology Physician
- Athens, GA
- NPI 1750686838
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1730690561
-
- Federally Qualified Health Center (FQHC)
- Swainsboro, GA
- NPI 1194569228
-
- Surgery Physician
- Swainsboro, GA
- NPI 1003221243
-
- Surgery Physician
- Moultrie, GA
- NPI 1902213846
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
-
- Specialist
- Savannah, GA
- NPI 1689843641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
-
- Critical Access Hospital
- Sylvania, GA
- NPI 1225339898
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.