JUSTIN R SMITH (PA-C) – Medical Physician Assistant, NPI 1376879825
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
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Provider Addresses for JUSTIN R SMITH (PA-C)
South Enota Drive Northeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305012437
Phone: (770) 538-0208
Fax: (770) 538-0556
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 221 Open Payments records for all available years, with a total value of $4,800.
Total Amount is formed as General ($4,800) + Research ($0) + Ownership ($0) = $4,800.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($916).
Total Amount
$4,800
General + Research + Ownership
Payments
221
Total payment records
General Amount
$4,800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $916 |
| GENZYME CORPORATION | $807 |
| LEO Pharma Inc. | $558 |
| Janssen Biotech, Inc. | $275 |
| Dermavant Sciences, Inc. | $234 |
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: 2009-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (897 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20091207000365 | I | Physician Assistant | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,769 | 309 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 860 | 630 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 548 | 406 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 248 | 199 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 247 | 214 | $0 |
Insurance plans in this area (ZIP 30501)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | GA | |
| Physician Assistant | NC | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA |
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