DR. JAMES DONALD JR. SMITH (MD) – Dermatology Physician, NPI 1093796880
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JAMES DONALD JR. SMITH (MD)
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 352422541
Phone: (205) 977-9876
Type: Mailing
1940 Stonegate Dr Ste 130
Vestavia Hls, AL 352422541
Phone: (205) 977-9876
Type: Location
1722, Pine Street, Oak Park, Montgomery, Montgomery County, Alabama, 36106, United States
STE 408
MONTGOMERY, AL 361061159
Phone: (205) 977-9876
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: SS White Burs, Inc. ($68).
Total Amount
$68
General + Research + Ownership
Payments
2
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SS White Burs, Inc. | $68 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101020000136 | I | Dermatology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35242)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AL | 17003 | Destruction of 2-14 skin growths | 3854 | 640 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Physician Assistant | GA | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | AL | |
| Emergency Medicine | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL |
Reviews
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