HERSCHEL WELLINGTON SMITH III MD
NPI 1952455990
Hospitalist in Lawrenceville, GA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD, INPATIENT MEDICAL GROUP, LAWRENCEVILLE, GA 30045(678) 442-3294(678) 442-3282 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 24, 2021, Nov 16, 2018 (2 updates tracked since 2018).

About Herschel Wellington Smith Iii Md NPPES

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

HERSCHEL WELLINGTON SMITH III MD (NPI 1952455990) is an individual hospitalist provider in Lawrenceville, Georgia, licensed in Georgia (31129) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Howard University College Of Medicine (1985).

NPPES Registry Identity

NPI1952455990
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHERSCHEL WELLINGTON SMITH IIICredential: MD
Location Address1000 MEDICAL CENTER BLVD, INPATIENT MEDICAL GROUPLawrenceville, GA 30045-7694
Mailing AddressPo Box 1170Lawrenceville, GA 30046-1170 · (470) 325-0159 · Fax (470) 325-0191
Fax(678) 442-3282
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1985
Enumeration DateJanuary 23, 2007
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1952455990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 31129
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 31129 (GA)
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30045

Other Identifiers 2

OtherP00289644GA · Railroad Medicare
Medicaid000379673KGA

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

Herschel Wellington Smith Iii 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 ID9931270030
PECOS Enrollment IDI20080617000661
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
104 services101 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%442 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Emergency Medicine
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Nurse Anesthetist, Certified Registered
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045
Advanced Practice Midwife
1000 MEDICAL CENTER BLVD, OB CLINIC
LAWRENCEVILLE, GA 30045
Radiology (Diagnostic Radiology)
1000 MEDICAL CENTER BLVD, RADIOLOGY DEPT
LAWRENCEVILLE, GA 30045

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 Herschel Smith's NPI number?

The NPI number for Herschel Smith is 1952455990. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Herschel Smith located?

Herschel Smith practices at 1000 Medical Center Blvd Inpatient Medical Group, Lawrenceville, GA 30045. The listed phone number is (678) 442-3294.

What is Herschel Smith's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Herschel Smith enrolled in Medicare?

Yes. Herschel 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.

What insurance does Herschel Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Herschel 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 Herschel Smith affiliated with any hospitals?

According to CMS data, Herschel Smith is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Herschel Smith was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.