JAMES M. SMITH (M.D.) – Hospitalist Physician, NPI 1053395129

JAMES M. SMITH (M.D.) is a healthcare provider. based in Newnan, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 022644 (GA). The NPI Number for JAMES M. SMITH (M.D.) is 1053395129

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
JAMES M. SMITH (M.D.)
NPI
1053395129
Phone
(770) 400-7700
Address
2401 NEWNAN CROSSING BLVD E
Enumeration Date
2 December 2005
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702546131
Graduation Year
1979 (47 years ago)
PAC ID
5597750430
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20040623000288
Address ID
GA302652402NE2401XBYPA401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for JAMES M. SMITH (M.D.)

  • Newnan Crossing Boulevard, Newnan, Coweta, Georgia, United States

    SUITE 200

    NEWNAN, GA 302652408

    Phone: (770) 400-7700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $2,176.

Total Amount is formed as General ($2,176) + Research ($0) + Ownership ($0) = $2,176.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($434).

Total Amount

$2,176

General + Research + Ownership

Payments

140

Total payment records

General Amount

$2,176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-06-23

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
I20040623000288IInternal MedicineGATBD

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
36415Insertion of needle into vein for collection of blood sample1,123404$0
99214Established patient office or other outpatient visit, 30-39 minutes814386$0
99213Established patient office or other outpatient visit, 20-29 minutes186142$0
99212Established patient office or other outpatient visit, 10-19 minutes174135$0
71046X-ray of chest, 2 views7031$0
View full utilization report →

Insurance plans in this area (ZIP 30265)

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Provider's Procedures

JAMES M. SMITH (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA20610Aspiration and/or injection of large joint or joint capsule1513
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle115115

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: 6002802220View full group profile

Reviews

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Frequently asked questions

How do payers reference JAMES M. SMITH (M.D.)?
For JAMES M. SMITH (M.D.), use NPI 1053395129 as the unique 10-digit identifier.
Active or inactive — what applies to JAMES M. SMITH (M.D.)?
You should see JAMES M. SMITH (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to JAMES M. SMITH (M.D.)?
JAMES M. SMITH (M.D.)'s specialty line reads Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is JAMES M. SMITH (M.D.) located near Newnan?
JAMES M. SMITH (M.D.) currently maps to Newnan, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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