DR. CHARLES L SMITH MD
NPI 1609335751
Family Medicine - Sleep Medicine in Macon, GA
About Dr. Charles L Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES L SMITH MD (NPI 1609335751) is an individual sleep medicine provider in Macon, Georgia, licensed in Georgia (96776) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Crisp Regional Hospital, and is a graduate of University Of Arizona College Of Medicine - Phoenix (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Charles L Smith 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.
Medicare Billing Reassignment
Medicare enrollment records show Charles Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 6 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crisp Regional Hospital
Acute Care Hospitals · Cordele, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31210
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 Charles Smith's NPI number?
The NPI number for Charles Smith is 1609335751. It was assigned to this individual provider in the NPPES registry on March 18, 2019.
Where is Charles Smith located?
Charles Smith practices at 275 Sheraton Blvd, Macon, GA 31210. The listed phone number is (478) 745-5779.
What is Charles Smith's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.
Is Charles Smith enrolled in Medicare?
Yes. Charles 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.
Which organization bills Medicare for Charles Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Smith reassigns Medicare benefits to Sleep Practitioners, LLC (Macon, GA). The 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 Charles Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles 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 3 other insurers list Charles 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.
Is Charles Smith affiliated with any hospitals?
According to CMS data, Charles Smith is affiliated with Crisp Regional Hospital.
When was this NPI record last updated?
The NPPES record for Charles Smith was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Charles L Smith, MD · NPI 1609335751
Sleep Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since March 18, 2019.
## Identity
- **NPI:** 1609335751 (Entity type: Individual)
- **Enumerated:** March 18, 2019
- **Primary specialty:** Family Medicine - Sleep Medicine · taxonomy 207QS1201X
- **State license:** 96776 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 SHERATON BLVD, Macon, GA 31210-1359
- **Phone:** (478) 745-5779
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sleep Practitioners, LLC (NPI 1023441656, Macon, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine - Phoenix, class of 2015
## Record status
- **NPPES last updated:** October 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609335751) · Data from the CMS NPPES public registry.