DR. JAMES K SMITH (MD) – Rheumatology Physician, NPI 1295832004
Rheumatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JAMES K SMITH (MD)
9155 SW Barnes Rd Ste 314
Portland, OR 972256630
Phone: (503) 297-3384
Fax: (503) 297-0863
Type: Location
3111 Gundersen Dr
Onalaska, WI 546508447
Phone: (608) 775-8100
Type: Location
4480 N Cooper Lake Rd SE
Smyrna, GA 30082
Phone: (470) 644-0122
Fax: (770) 333-2059
Type: Location
4480, North Cooper Lake Road Southeast, Smyrna, Cobb County, Georgia, 30080, United States
SMYRNA, GA 300824622
Phone: (470) 644-0122
Fax: (770) 333-2059
Type: Mailing
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: 2019-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150429000343 | I | Rheumatology | AL | TBD |
| I20171107002256 | I | Rheumatology | GA | TBD |
| I20191118003027 | I | Rheumatology | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97225)
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