NATHAN SMITH (MD) – Interventional Pain Medicine Physician, NPI 1174884662

NATHAN SMITH (MD) is a healthcare provider. based in Gainesville, Georgia. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 29319 (OK). The NPI Number for NATHAN SMITH (MD) is 1174884662

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN SMITH (MD)
NPI
1174884662
Phone
(678) 971-4167
Address
601 Broad Street SE
Enumeration Date
31 May 2012
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9197443131
Graduation Year
2012 (14 years ago)
PAC ID
3173894532
Group Practice PAC ID
9638461973
Professional Enrollment ID
I20170802002864
Address ID
OK741046520TU1923XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

Provider Addresses for NATHAN SMITH (MD)

  • 601 Broad Street SE

    Ste B

    Gainesville, GA 30501

    Phone: (678) 971-4167

    Fax: (833) 989-2501

    Type: Location

  • 750 NE 13th St

    Oklahoma City, OK 731045010

    Phone: (405) 271-4351

    Type: Location

  • 750 NE 13TH ST

    OKLAHOMA CITY, OK 731045010

    Phone: (405) 271-4351

    Type: Location

  • 1500 OLGETHORPE AVE BLDG 500

    STE A

    ATHENS, GA 306062179

    Phone: (678) 971-4167

    Fax: (833) 989-2501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $406.

Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($193).

Total Amount

$406

General + Research + Ownership

Payments

13

Total payment records

General Amount

$406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2019-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170802002864IAnesthesiologyOKTBD
I20190208003138IPain ManagementGATBD

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 minutes207144$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 9638461973View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YAZ

Reviews

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Frequently asked questions

How do I look up NATHAN SMITH (MD) by NPI?
Use NPI 1174884662 when you need to reference NATHAN SMITH (MD) in forms, claims, or directories.
Is NATHAN SMITH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NATHAN SMITH (MD) work in?
You can think of NATHAN SMITH (MD) as practicing within Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NATHAN SMITH (MD) practice in Georgia?
You will see Gainesville, Georgia on file for NATHAN SMITH (MD) alongside any extra practice locations.
Is NATHAN SMITH (MD) a real provider?
This page reflects official NPPES data for NPI 1174884662. Always confirm identity and privileges with the practice and licensing boards.

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