DR. CONNOR MITCHELL SMITH MD
NPI 1720601149
Otolaryngology in Fayetteville, GA
About Dr. Connor Mitchell Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CONNOR MITCHELL SMITH MD (NPI 1720601149) is an individual otolaryngology provider in Fayetteville, Georgia, licensed in Georgia (111618) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2020).
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. Connor Mitchell 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 Connor Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 18 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 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, GA 30214
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 Connor Smith's NPI number?
The NPI number for Connor Smith is 1720601149. It was assigned to this individual provider in the NPPES registry on May 20, 2020.
Where is Connor Smith located?
Connor Smith practices at 1240 Highway 54 W Ste 710, Fayetteville, GA 30214. The listed phone number is (770) 991-2800.
What is Connor Smith's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Connor Smith enrolled in Medicare?
Yes. Connor 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 Connor Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Smith reassigns Medicare benefits to South Atlanta Ear Nose & Throat, PC (Fayetteville, 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 Connor Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connor Smith accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Connor 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 Connor Smith was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.
# Dr. Connor Mitchell Smith, MD · NPI 1720601149
Otolaryngology physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since May 20, 2020.
## Identity
- **NPI:** 1720601149 (Entity type: Individual)
- **Enumerated:** May 20, 2020
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 111618 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1240 HIGHWAY 54 W STE 710, Fayetteville, GA 30214-4565
- **Phone:** (770) 991-2800
## 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:** South Atlanta Ear Nose & Throat, PC (NPI 1548697196, Fayetteville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720601149) · Data from the CMS NPPES public registry.