MICHAEL SMITH DO
NPI 1265926257
Physical Medicine & Rehabilitation - Pain Medicine in Atlanta, GA

NPI Status: Active since June 21, 2018

Contact Information

2020 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309
Phone: (404) 350-7353

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  • Individual
  • Male
  • Years of Experience 8
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL SMITH

This page provides the complete NPI Profile along with additional information for Michael Smith, a provider established in Atlanta, Georgia with a medical specialization in Physical Medicine & Rehabilitation, focusing in pain medicine and more than 8 years of experience. He graduated from Nova Southeastern College Of Osteo Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1265926257 assigned on June 2018. The practitioner's primary taxonomy code is 2081P2900X with license number 91408 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1265926257
Provider Name
MICHAEL SMITH DO
Gender
Male
Entity Type
Individual
Location Address
2020 PEACHTREE RD NW ATLANTA, GA 30309
Location Phone
(404) 350-7353
Mailing Address
4725 N FEDERAL HWY FORT LAUDERDALE, FL 33308
Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year
2018
Is Sole Proprietor?
Yes
Enumeration Date
06-21-2018
Last Update Date
10-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
License No.
91408
License State
GA
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Medicare Participation & PECOS Enrollment Status

Michael Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Michael Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779836192

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220812002536

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265926257, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 8 + 2 + 1 + 2 + 2 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1265926257.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Orthopaedic Surgery
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Neurological Surgery
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Counselor
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Counselor
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Nurse Practitioner
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Nurse Practitioner
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Psychiatry & Neurology (Neurology)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Psychiatry & Neurology (Neurology)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Counselor (Professional)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Counselor (Professional)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Counselor
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Therapist (Neurology)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Nurse Practitioner
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Physical Therapist
2020 PEACHTREE RD NW
ATLANTA, GA 30309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265926257, enumerated as an "individual" on June 21, 2018.

The provider is located at 2020 PEACHTREE RD NW ATLANTA, GA 30309 and the phone number is (404) 350-7353.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.