ARNOLD SMALLS MD
NPI 1396747598
Internal Medicine in Lagrange, GA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1602 VERNON RD, STE 400, LAGRANGE, GA 30240(706) 882-9341(706) 884-0131 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arnold Smalls Md NPPES

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

ARNOLD SMALLS MD (NPI 1396747598) is an individual internal medicine provider in Lagrange, Georgia, licensed in Georgia (043485) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (1991).

NPPES Registry Identity

NPI1396747598
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameARNOLD SMALLSCredential: MD
Location Address1602 VERNON RD, STE 400Lagrange, GA 30240-4100
Mailing Address1602 Vernon Rd, Ste 400Lagrange, GA 30240-4100 · (706) 882-9341 · Fax (706) 884-0131
Fax(706) 884-0131
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1991
Enumeration DateJune 1, 2005
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
NPI 1396747598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 043485
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.
1602 VERNON RD, Lagrange, GA 30240

Other Identifiers 1

Medicaid00742959AGA

Accepted Insurance

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

Arnold Smalls Md 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 ID345263471
PECOS Enrollment IDI20060104000493
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 73

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, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
26,303 services11 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,824 services187 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,186 services505 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,045 services175 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,013 services440 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,003 services483 patients

Hospital Affiliations CMS Care Compare

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers145 claims333 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers66 claims96 services$1.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers16 claims3,480 services$1.64 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims410 services$0.12 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
4 suppliers13 claims525 services$0.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$102.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
1602 VERNON RD, STE 400
LAGRANGE, GA 30240
Internal Medicine
1602 VERNON RD, STE 400
LAGRANGE, GA 30240
Nurse Practitioner (Primary Care)
1602 VERNON RD, SUITE 400
LAGRANGE, GA 30240
Obstetrics & Gynecology
1602 VERNON RD, SUITE 200
LAGRANGE, GA 30240
Internal Medicine
1602 VERNON RD, STE 400
LAGRANGE, GA 30240
Internal Medicine
1602 VERNON RD, STE 400
LAGRANGE, GA 30240
Internal Medicine
1602 VERNON RD, SUITE 400
LAGRANGE, GA 30240
Internal Medicine
1602 VERNON RD, SUITE 400
LAGRANGE, GA 30240

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 Arnold Smalls's NPI number?

The NPI number for Arnold Smalls is 1396747598. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Arnold Smalls located?

Arnold Smalls practices at 1602 Vernon Rd Ste 400, Lagrange, GA 30240. The listed phone number is (706) 882-9341.

What is Arnold Smalls's specialty?

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

Is Arnold Smalls enrolled in Medicare?

Yes. Arnold 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.

What insurance does Arnold Smalls accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Arnold Smalls 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.

Is Arnold Smalls affiliated with any hospitals?

According to CMS data, Arnold Smalls is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for Arnold Smalls was last updated on April 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.