Individual provider Active NPI

William Benjamin Smisson, MD

  • Interventional Pain Medicine Physician
  • Macon, GA
National Provider Identifier
1992138366
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
77206 Issued in GA
Practice address
1157 Forsyth St Ste 200
Macon, GA 31201-7454
Phone
(478) 476-1968
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 77206 GA Primary
Anesthesiology Physician 207L00000X 77206 GA

Addresses

Primary practice location

1157 Forsyth St Ste 200
Macon, GA 31201-7454

Mailing address

4163 Canyon Rd
Macon, GA 31210-4742
Phone (478) 808-5388

Other practice location 1

100 Jim Mason Ct Ste A
Warner Robins, GA 31088-8965
Phone (478) 971-4001

Other practice location 2

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

Other practice location 3

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 808-5388

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://my.atriumhealth.org/myatriumhealth/Authentication/Login? Navicent Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210706001922 GA Practitioner - Interventional Pain Management 4688990104 Reassigns benefits to 1 organization
I20220818003882 GA Practitioner - Anesthesiology 4688990104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians

Practice addresses (Care Compare)

1157 Forsyth St
Suite 200
Macon, GA 31201-7454
Phone (478) 476-1968

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-6399

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Georgia Hospice Partners Hospice, Warner Robins, GA, CCN 851608
  • Amedisys Hospice Hospice, Macon, GA, CCN 111705
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77206GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Jul 8, 2022 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Goodsleep of Ga LLC Current Accepting new patients
Georgia Hospice Partners CurrentSince Sep 23, 2024 Accepting new patients
Axis Surgery Center LLC PastSince Jun 1, 2021 Accepting new patients

Locations

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

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

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Amedisys HospiceMacon, GA, CCN 111705 Hospice Contracted Managing Employee Jan 1, 2025
Georgia Hospice PartnersWarner Robins, GA, CCN 851608 Hospice General Partnership Interest (50%)
Operational/Managerial Control
Sep 1, 2024
Jan 1, 2025

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 6

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 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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1992138366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 CANYON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104742",
            "telephone_number": "478-808-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 FORSYTH ST STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017454",
            "telephone_number": "478-476-1968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Jim Mason Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888965",
            "country_code": "US",
            "telephone_number": "478-971-4001",
            "fax_number": "478-971-4004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173838",
            "country_code": "US",
            "telephone_number": "478-746-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-808-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMISSON",
        "first_name": "WILLIAM",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "77206",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "77206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://my.atriumhealth.org/myatriumhealth/Authentication/Login?",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Navicent Health",
            "address_1": "777 Hemlock St",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312012102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.