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DR. JACKIE SMALLS M.D.
NPI 1164801098
Internal Medicine in Greenville, NC

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
521 MOYE BLVD, GREENVILLE, NC 27834(252) 744-3229(252) 744-3924 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2021, Feb 22, 2021, Dec 7, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Jackie Smalls M.d. NPPES

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

DR. JACKIE SMALLS M.D. (NPI 1164801098) is an individual internal medicine provider in Greenville, North Carolina, licensed in North Carolina (2018-02169) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1164801098
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACKIE SMALLSCredential: M.D.
Location Address521 MOYE BLVDGreenville, NC 27834
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-3229
Fax(252) 744-3924
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 26, 2015
Last NPPES UpdateMarch 3, 20215 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1164801098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2018-02169✔ Licensed in SC · 85218
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
521 MOYE BLVD, Greenville, NC 27834
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 E Wood St Ste 401Spartanburg, SC 29303-3040 · Phone (864) 560-6654 · Fax (864) 560-7353

Other Identifiers 6

Medicaid852189SC
OtherSCJ2039068SC · Medicare Pin
Other19YU8NC · Bcbs Of Nc
Medicaid1164801098NC
OtherNN42610322NC · Medicare
OtherSCJ2035019SC · Medicare Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jackie Smalls M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961701925
PECOS Enrollment IDI20201209002177
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

2

Medicare enrollment records show Jackie Smalls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
242 mi
Cardiovascular Disease
104 PROFESSIONAL PARK STE B
Gaffney, SC 29340
  • Reassigned Medicare billing, South Carolina enrollment
  • 754 clinicians in this Medicare group
NPI 1316416688 (864) 489-3230
Pelham Medical Center
277 mi
Internal Medicine
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 313 clinicians in this Medicare group
NPI 1245496983 (864) 560-6619

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
373 services158 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
112 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
106 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 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.
15 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

DR. CHRISTINA JEANETTE SANTANA MD
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
DR. MOHAMMAD ZAFAR KHALILULLAH MD
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
FELICIA TIFFANY CANADAY MD
Internal Medicine (Pulmonary Disease)
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1600
DR. NEAL DELVADIA MD
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
DR. HASSAN MAHDI AL-KHALISY M.D.
Internal Medicine (Pulmonary Disease)
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1600
DR. THATSHANA THAYANANTHARAJAH MD
Student in an Organized Health Care Education/Training Program
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-3992
DR. THOMAS FRANCIS BLAIR MD
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
DR. RITU MODI M.D
Internal Medicine (Pulmonary Disease)
521 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-1600

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 Jackie Smalls's NPI number?

The NPI number for Jackie Smalls is 1164801098. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Jackie Smalls located?

Jackie Smalls practices at 521 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-3229.

What is Jackie Smalls's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jackie Smalls enrolled in Medicare?

Yes. Jackie Smalls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jackie Smalls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Smalls reassigns Medicare benefits to 2 organizations: Spartanburg Medical Center (Gaffney, SC) and Pelham Medical Center (Greer, SC). 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 Jackie Smalls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jackie Smalls affiliated with any hospitals?

According to CMS data, Jackie Smalls is affiliated with Spartanburg Medical Center, Cherokee Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Jackie Smalls was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.