MR. EDMUND EARL SMITH PHYSICIAN ASSISTANT
NPI 1255952107
Physician Assistant in Alpharetta, GA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
13081 HIGHWAY 9 N, ALPHARETTA, GA 30004(770) 521-6690(770) 521-6609 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Edmund Earl Smith Physician Assistant NPPES

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

MR. EDMUND EARL SMITH PHYSICIAN ASSISTANT (NPI 1255952107) is an individual physician assistant in Alpharetta, Georgia, licensed in Georgia (11049) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Morehouse School Of Medicine (2021).

NPPES Registry Identity

NPI1255952107
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. EDMUND EARL SMITHCredential: PHYSICIAN ASSISTANT
Location Address13081 HIGHWAY 9 NAlpharetta, GA 30004-5150
Mailing Address580 Holderness St SwAtlanta, GA 30310-1747 · (404) 788-9091
Fax(770) 521-6609
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 2021
Enumeration DateMay 1, 2020
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1255952107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 11049
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13081 HIGHWAY 9 N, Alpharetta, GA 30004

Secondary Practice Location 1

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 752-1500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Edmund Earl Smith Physician Assistant 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 ID1557743341
PECOS Enrollment IDI20220726002020
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.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services82 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
91 services37 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
66 services53 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
44 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30004 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Physician Assistant
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Emergency Medicine
13081 HIGHWAY 9 N
MILTON, GA 30004
Nurse Practitioner (Family)
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Physician Assistant
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Physician Assistant (Medical)
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Clinic/Center (Urgent Care)
13081 HIGHWAY 9 N
MILTON, GA 30004
Nurse Practitioner (Family)
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004
Non-Pharmacy Dispensing Site
13081 HIGHWAY 9 N
ALPHARETTA, GA 30004

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 Edmund Smith's NPI number?

The NPI number for Edmund Smith is 1255952107. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Edmund Smith located?

Edmund Smith practices at 13081 Highway 9 N, Alpharetta, GA 30004. The listed phone number is (770) 521-6690.

What is Edmund Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edmund Smith enrolled in Medicare?

Yes. Edmund Smith 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.

When was this NPI record last updated?

The NPPES record for Edmund Smith was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.