DR. THEODORE G. SMITH D.C.
NPI 1265544340
Chiropractor in Eatonton, GA
About Dr. Theodore G. Smith D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE G. SMITH D.C. (NPI 1265544340) is an individual chiropractor in Eatonton, Georgia, licensed in Georgia (LIC5766) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Theodore G. Smith D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Theodore Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eatonton, GA 31024
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Milledgeville, GA 31061
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
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
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theodore Smith's NPI number?
The NPI number for Theodore Smith is 1265544340. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Theodore Smith located?
Theodore Smith practices at 639 Old Phoenix Rd, Eatonton, GA 31024. The listed phone number is (706) 485-1010.
What is Theodore Smith's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Theodore Smith enrolled in Medicare?
Yes. Theodore Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Theodore Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Smith reassigns Medicare benefits to 2 organizations: Theodore G. Smith, D.C., P.C (Eatonton, GA) and Pure Chiropractic Milledgeville LLC (Milledgeville, 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 Theodore Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theodore Smith was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Theodore G. Smith, D.C. · NPI 1265544340
Chiropractor provider in Eatonton, Georgia. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1265544340 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** LIC5766 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 639 OLD PHOENIX RD, Eatonton, GA 31024-5610
- **Phone:** (706) 485-1010 · **Fax:** (706) 485-1019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Theodore G. Smith, D.C., P.C (NPI 1104996644, Eatonton, GA); Pure Chiropractic Milledgeville LLC (NPI 1700146883, Milledgeville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - West Sunnyvale, class of 1996
## Record status
- **NPPES last updated:** March 1, 2017
- **Other identifiers:** Medicare ID-Type Unspecified GRP4291 (GA); Medicare UPIN U63241 (GA); Medicare ID-Type Unspecified 35ZCGGQ (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265544340) · Data from the CMS NPPES public registry.