DR. SMITHA SURAJ (MD) – Internal Medicine Physician, NPI 1073724894
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SMITHA SURAJ (MD)
3001 Gordon Hwy
Grovetown, GA 308133808
Phone: (706) 855-4720
Type: Location
626 SPRING CREEK LN
MARTINEZ, GA 309074946
Phone: (706) 868-5270
Type: Mailing
1120 15TH ST STE BI-1056
AUGUSTA, GA 309120004
Phone: (706) 721-8623
Type: Mailing
1120 15TH ST
AUGUSTA, GA 309123808
Phone: (706) 721-8623
Type: Location
Augusta State Medical Prison, 3001, Gordon Highway, Grovetown, Richmond County, Georgia, 30813, United States
GROVETOWN, GA 308133808
Phone: (706) 855-4720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210910002614 | I | Internal Medicine | GA | TBD |
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.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $0 |
Insurance plans in this area (ZIP 30813)
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