STEPHEN DEREK SMITH CRNA
NPI 1639182553
Nurse Anesthetist, Certified Registered in Newnan, GA
About Stephen Derek Smith Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN DEREK SMITH CRNA (NPI 1639182553) is an individual nurse anesthetist, certified registered in Newnan, Georgia, licensed in Georgia (RN076030) and active in the NPI registry since August 2006. He is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Stephen Derek Smith Crna 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 Stephen Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30265 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
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 Stephen Smith's NPI number?
The NPI number for Stephen Smith is 1639182553. It was assigned to this individual provider in the NPPES registry on August 14, 2006.
Where is Stephen Smith located?
Stephen Smith practices at 80 Newnan Station Drive, Suite A, Newnan, GA 30265. The listed phone number is (770) 251-2060.
What is Stephen Smith's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Stephen Smith enrolled in Medicare?
Yes. Stephen 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 Stephen Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Smith reassigns Medicare benefits to Sentry Anesthesia Management, LLC (Newnan, 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 Stephen 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 Stephen Smith was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Stephen Derek Smith, CRNA · NPI 1639182553
Nurse Anesthetist, Certified Registered physician in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1639182553 (Entity type: Individual)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN076030 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 80 NEWNAN STATION DRIVE, SUITE A, Newnan, GA 30265
- **Phone:** (770) 251-2060 · **Fax:** (678) 854-9235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Other P00296749 (GA); Other 156961100 (GA); Medicaid 000550338G (GA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1639182553) · Data from the CMS NPPES public registry.