SUSAN J SMITH (MD) – Family Medicine Physician, NPI 1871621474

SUSAN J SMITH (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 030547 (GA). The NPI Number for SUSAN J SMITH (MD) is 1871621474

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN J SMITH (MD)
NPI
1871621474
Phone
(678) 490-8300
Address
4850 SUGARLOAF PKWY STE 101
Enumeration Date
2 March 2007
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7069464647
Graduation Year
1985 (41 years ago)
PAC ID
1153414479
Group Practice PAC ID
7719974831
Professional Enrollment ID
I20141104000746
Address ID
GA305134431BL165XXOVER400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for SUSAN J SMITH (MD)

  • 4850 SUGARLOAF PKWY STE 101

    LAWRENCEVILLE, GA 300442860

    Phone: (678) 490-8300

    Type: Mailing

  • 772 MADDOX DR STE 122

    EAST ELLIJAY, GA 305408196

    Phone: (706) 635-6898

    Fax: (706) 635-6885

    Type: Location

  • 165 BLUE RIDGE OVERLOOK

    BLUE RIDGE, GA 305134431

    Phone: (706) 946-5607

    Fax: (706) 374-7628

    Type: Mailing

  • 80 CINEMA DRIVE

    ELLIJAY, GA 305402592

    Phone: (706) 635-6898

    Fax: (706) 635-6885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($49).

Total Amount

$116

General + Research + Ownership

Payments

7

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2014-11-04

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
I20141104000746IFamily PracticeGATBD

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
96127Assessment of emotional or behavioral problems3927$0
82962Blood glucose (sugar) test performed by hand-held instrument3420$0
83036Hemoglobin a1c level2621$0
View full utilization report →

Insurance plans in this area (ZIP 30044)

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Provider's Procedures

SUSAN J SMITH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level4128
FAMILY MEDICINEGA85610Blood test, clotting time2911

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: 7719974831View full group profile

Reviews

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Frequently asked questions

Does SUSAN J SMITH (MD) have a public NPI I can cite?
Public records show SUSAN J SMITH (MD) under NPI 1871621474.
Is SUSAN J SMITH (MD) currently accepting referrals based on NPI status?
Registry metadata lists SUSAN J SMITH (MD) as active.
Which specialty label fits SUSAN J SMITH (MD)?
NPPES ties SUSAN J SMITH (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SUSAN J SMITH (MD)?
SUSAN J SMITH (MD) shows a connection to Lawrenceville, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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