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STUART SMITH PA-C
NPI 1396281416
Physician Assistant in Carrollton, GA

Active since January 12, 2017PECOS Enrolled
89.89/100
CMS Quality Rating
820 MAPLE ST, CARROLLTON, GA 30117(678) 390-7915 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 20, 2025, Jan 12, 2017 (2 updates tracked since 2017).

About Stuart Smith Pa-c NPPES

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

STUART SMITH PA-C (NPI 1396281416) is an individual physician assistant in Carrollton, Georgia, licensed in Georgia (8240) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396281416
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTUART SMITHCredential: PA-C
Location Address820 MAPLE STCarrollton, GA 30117-3626
Mailing AddressPo Box 728Bremen, GA 30110-0728 · (770) 537-1234 · Fax (770) 537-1237
Phone(678) 390-7915
Sole ProprietorNo
Enumeration DateJanuary 12, 2017
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1396281416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 8240
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 8240 (GA)
820 MAPLE ST, Carrollton, GA 30117
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1705 Dixie StCarrollton, GA 30117-3818 · Phone (770) 812-9597 · Fax (770) 812-5539
Location 21009 Alabama Ave SBremen, GA 30110-2501 · Phone (678) 821-6400

Other Identifiers 1

Other1861915647GA · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stuart Smith Pa-c 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.

Areas of Expertise CMS Part B claims 8

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
124 services16 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
45 services23 patients
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.
34 services33 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
28 services28 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.
25 services25 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 3

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

DR. KENNETH L BOSS MD
Family Medicine
820 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 390-7915
SHAWNA M BERG FNP
Nurse Practitioner
820 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 390-7915
JENNIFER L DENSMORE NP
Nurse Practitioner (Primary Care)
820 MAPLE ST
CARROLLTON, GA 30117
Carroll County (678) 390-7900

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 Stuart Smith's NPI number?

The NPI number for Stuart Smith is 1396281416. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Stuart Smith located?

Stuart Smith practices at 820 Maple St, Carrollton, GA 30117. The listed phone number is (678) 390-7915.

What is Stuart Smith's specialty?

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

Is Stuart Smith enrolled in Medicare?

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

What insurance does Stuart Smith accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Stuart 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 Stuart Smith was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.