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DR. JAMES LOFTON SMITH JR. M.D.
NPI 1154511855
Emergency Medicine in Lawrenceville, GA

Active since July 29, 2007PECOS Enrolled
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045(678) 442-3317(678) 442-4416 Get Directions Write a Review

NPPES record last updated: July 29, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Lofton Smith Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES LOFTON SMITH JR. M.D. (NPI 1154511855) is an individual emergency medicine provider in Lawrenceville, Georgia, licensed in Georgia (059763) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154511855
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES LOFTON SMITH JR.Credential: M.D.
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30045-7694
Mailing Address3278 Whidby RdBuford, GA 30518-1450 · (617) 304-2078
Phone(678) 442-3317
Fax(678) 442-4416
Sole ProprietorYes
Enumeration DateJuly 29, 2007
✔ NPI 1154511855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 059763
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30045
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Lofton Smith Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show James Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Emergency Specialists Observation Services, LLC
Same address
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1720373129 (954) 939-5000
Gwinnett Emergency Specialists, LLC
Same address
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
NPI 1437346467 (954) 939-5000
Northside Hospital, Inc.
Same address
General Acute Care Hospital
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gwinnett Hospital System, Inc.
  • 98 clinicians in this Medicare group
NPI 1952340994 (678) 312-1000
Northside Emergency Associates, LLC
20 mi
Emergency Medicine
1000 JOHNSON FERRY RD
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
NPI 1285686303 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services84 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
62 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANARH ALBERT KISSEIH MD
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-3317
DR. CRAIG M SPECTOR MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 963-9905
DONALD ALFRED RUF MD
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-3317
MR. CHARLES LEROY PEACOCK CRNA
Nurse Anesthetist, Certified Registered
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 442-4321
DR. STEPHEN F LEGUM MD
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 995-4321
JUNE ELLEN SELBY CNM
Advanced Practice Midwife
1000 MEDICAL CENTER BLVD, OB CLINIC
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 312-4616
DR. DOUGLAS H SEEB MD
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD, RADIOLOGY DEPT
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 995-4321
MRS. MOLLIE ROSE WOLF PA-C
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Gwinnett County (619) 993-9916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Smith's NPI number?

The NPI number for James Smith is 1154511855. It was assigned to this individual provider in the NPPES registry on July 29, 2007.

Where is James Smith located?

James Smith practices at 1000 Medical Center Blvd, Lawrenceville, GA 30045. The listed phone number is (678) 442-3317.

What is James Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Smith enrolled in Medicare?

Yes. James Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Smith reassigns Medicare benefits to 4 organizations: Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA), Gwinnett Emergency Specialists, LLC (Lawrenceville, GA), Northside Hospital, Inc. (Lawrenceville, GA) and Northside Emergency Associates, LLC (Sandy Springs, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Smith accept?

Health plans from Oscar Health and Oscar Insurance Company list James Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Smith was last updated on July 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.