JOHN DARRELL SMITH (MD) – Cardiovascular Disease Physician, NPI 1023054806

JOHN DARRELL SMITH (MD) is a healthcare provider. based in Riverdale, Georgia. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 036012 (GA). The NPI Number for JOHN DARRELL SMITH (MD) is 1023054806

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DARRELL SMITH (MD)
NPI
1023054806
Phone
(770) 991-8130
Address
11 Upper Riverdale Rd, SW
Enumeration Date
21 June 2006
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7709079009
Graduation Year
1983 (43 years ago)
PAC ID
0042111064
Group Practice PAC ID
6204737216
Professional Enrollment ID
I20060501000309
Address ID
GA302742579RI483XXSWXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for JOHN DARRELL SMITH (MD)

  • 11 Upper Riverdale Rd, SW

    Riverdale, GA 302742615

    Phone: (770) 991-8130

    Fax: (770) 991-8630

    Type: Location

  • Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302819084

    Phone: (770) 692-4000

    Type: Mailing

  • 3333 JODECO ROAD

    SUITE A

    MCDONOUGH, GA 30253

    Phone: (770) 692-4000

    Fax: (770) 474-8510

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,516.

Total Amount is formed as General ($1,516) + Research ($0) + Ownership ($0) = $1,516.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Amgen Inc. ($398).

Total Amount

$1,516

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,516

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-05-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060501000309ICardiovascular Disease (Cardiology)GATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,050508$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report499432$0
99215Established patient office or other outpatient visit, 40-54 minutes218180$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function162161$0
99213Established patient office or other outpatient visit, 20-29 minutes130112$0
View full utilization report →

Insurance plans in this area (ZIP 30274)

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Provider's Procedures

JOHN DARRELL SMITH (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA85610Blood test, clotting time316106
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4340
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204737216View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA
Interventional Cardiology, Cardiovascular Disease (Cardiology)AR
Cardiovascular Disease (Cardiology), Internal MedicineGA
Interventional Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Is there an official ID for JOHN DARRELL SMITH (MD) in U.S. healthcare records?
The official identifier for JOHN DARRELL SMITH (MD) is NPI 1023054806.
Is JOHN DARRELL SMITH (MD) shown as active in public data?
Registry records indicate JOHN DARRELL SMITH (MD) maintains an active NPI.
What area of care is associated with JOHN DARRELL SMITH (MD)?
JOHN DARRELL SMITH (MD)'s record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is JOHN DARRELL SMITH (MD) located near Riverdale?
JOHN DARRELL SMITH (MD) currently maps to Riverdale, Georgia in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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