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Home > AL Providers > Spine Surgeons

Dr. James D. Smith III, MD

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Specializes in: Spine Surgery and Orthopedics/Orthopedic Surgery

University of Alabama at Birmingham School of Medicine (2003)

100 Medical Center Drive Suite 101
Gadsden, AL 35903

(256) 492-8590

Dr. James D. Smith III, MD is a spine surgeon in Gadsden, AL specializing in spine surgery and orthopedics/orthopedic surgery. He graduated from University of Alabama at Birmingham School of Medicine in 2003 and has 22 years of experience. Dr. James D. Smith III, MD is affiliated with Riverview Regional Hospital, Gadsden Regional Medical Center and THE ORTHOPEDIC CENTERS.

Office Locations

Gadsden Regional Medical Center

100 Medical Center Drive Suite 101
Gadsden, AL 35903

(256) 492-8590

open_in_new

Riverview Regional Hospital

3102 Rainbow Drive
Rainbow City, AL 35906

(256) 546-8127

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Gadsden Regional Medical Center

Gadsden Orthopaedic Associates
Fort Payne, AL 35968

(256) 845-4545

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Noteworthy Medicare Patient Procedures Performed by Dr. James D. Smith III, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

closed treatment of vertebral body fracture without reduction

injections

nerve block

pain management

selective nerve root block

spinal cord stimulator implantation

spinal cord stimulator replacement

spinal procedures

subarachnoid block with local anesthetic

transforaminal epidural steroid injection

By Affordability:

thoracic spine surgery

In 2023, among providers in related specialties within Alabama, Dr. James D. Smith III, MD performed more closed treatment of vertebral body fracture without reduction, injections, nerve block, pain management, selective nerve root block (SNRB), spinal cord stimulator implantation, spinal cord stimulator replacement, spinal procedures, subarachnoid block with local anesthetic (numbing medicine), and transforaminal epidural steroid injection procedures for Medicare patients than 95% of them and he also had a list price for thoracic spine surgery that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

spine surgery procedures

In 2023, Dr. James D. Smith III, MD had a list price for spine surgery procedures that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Alabama. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

major joint aspiration

spine X-ray

By Affordability:

thoracic kyphoplasty

In 2013, among providers in related specialties within Alabama, Dr. James D. Smith III, MD performed more major joint aspiration, and spine X-ray procedures for Medicare patients than 75% of them and he also had a list price for thoracic kyphoplasty that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2013 were spinal procedures, X-rays, MRI (magnetic resonance imaging) and injections.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	70
aspiration	102
decompression surgery	85
doctor visit	722
hip imaging	20
image guided procedures	12
injections	114
minimally invasive procedures	36
MRI (magnetic resonance imaging)	145
musculoskeletal imaging	59
neck surgery	68
nerve procedures	85
pain management	12
pelvic imaging	12
spinal procedures	736
X-rays	449

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	285
Female	453

**Ethnicity**
Non-Hispanic White	709
Black	0
Hispanic	0
Asian	0
Other	0
Native American	14

**Age**
From 65 to 74	300
From 75 to 84	210
85 and over	48
Less than 65	180

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2013

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2013 were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	73
High Cholesterol	56
Stroke	3
Ischemic Heart Disease	41
Depression	37
Chronic Kidney Disease	18
Asthma	10
Osteoperosis	12
Atrial Fibrilation	7
Heart Failure	12
Chronic Obstructive Pulmonary Disease	21
Diabetes	34
Dementia	8
Cancer	8

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2014 were spinal procedures, X-rays, MRI (magnetic resonance imaging) and injections.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	76
aspiration	31
decompression surgery	82
doctor visit	556
fracture surgery	15
hospital care	11
image guided procedures	41
injections	110
inpatient care	11
lower extremity surgery	15
minimally invasive procedures	74
MRI (magnetic resonance imaging)	135
musculoskeletal imaging	29
neck surgery	63
nerve block	38
nerve procedures	82
pain management	79
spinal procedures	699
X-rays	292

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	200
Female	302

**Ethnicity**
Non-Hispanic White	473
Black	0
Hispanic	0
Asian	0
Other	0
Native American	12

**Age**
From 65 to 74	211
From 75 to 84	130
85 and over	52
Less than 65	109

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2014

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2014 were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	71
High Cholesterol	51
Stroke	4
Ischemic Heart Disease	42
Depression	32
Chronic Kidney Disease	19
Asthma	10
Osteoperosis	15
Atrial Fibrilation	6
Heart Failure	13
Chronic Obstructive Pulmonary Disease	22
Diabetes	32
Dementia	11
Cancer	8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2015 were injections, spinal procedures, aspiration and nerve block.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

aspiration	18
doctor visit	170
injections	33
nerve block	15
pain management	15
spinal procedures	28
X-rays	13

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	84
Female	154

**Ethnicity**
Non-Hispanic White	210
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	48
85 and over	22
Less than 65	58

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2015

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2015 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	51
Depression	31
Chronic Kidney Disease	16
Asthma	24
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	22
Chronic Obstructive Pulmonary Disease	24
Diabetes	38
Dementia	13
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2016 were spinal procedures, X-rays, injections and aspiration.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	12
aspiration	125
decompression surgery	19
doctor visit	907
injections	175
musculoskeletal imaging	25
neck surgery	12
nerve block	50
nerve procedures	19
pain management	50
pelvic imaging	29
spinal procedures	438
X-rays	383

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	194
Female	282

**Ethnicity**
Non-Hispanic White	441
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	196
From 75 to 84	103
85 and over	33
Less than 65	144

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2016

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2016 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	42
Depression	37
Chronic Kidney Disease	27
Asthma	28
Osteoperosis	9
Atrial Fibrilation	5
Heart Failure	20
Chronic Obstructive Pulmonary Disease	25
Diabetes	39
Dementia	9
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2017 were spinal procedures, X-rays, injections and nerve block.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	27
aspiration	169
decompression surgery	20
doctor visit	1130
injections	373
musculoskeletal imaging	22
neck surgery	27
nerve block	204
nerve procedures	20
pain management	204
pelvic imaging	47
spinal procedures	668
X-rays	475

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	207
Female	337

**Ethnicity**
Non-Hispanic White	488
Black	44
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	216
From 75 to 84	103
85 and over	44
Less than 65	181

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2017

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2017 were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	75
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	40
Depression	38
Chronic Kidney Disease	36
Asthma	9
Osteoperosis	12
Atrial Fibrilation	7
Heart Failure	18
Chronic Obstructive Pulmonary Disease	27
Diabetes	35
Dementia	9
Cancer	7

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2018 were spinal procedures, injections, X-rays and pain management.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	33
aspiration	146
decompression surgery	41
doctor visit	1108
injections	479
neck surgery	49
nerve block	303
nerve procedures	41
pain management	333
pelvic imaging	32
spinal procedures	758
X-rays	377

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	204
Female	346

**Ethnicity**
Non-Hispanic White	493
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	222
From 75 to 84	138
85 and over	34
Less than 65	156

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2018

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2018 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	40
Depression	36
Chronic Kidney Disease	35
Asthma	10
Osteoperosis	12
Atrial Fibrilation	8
Heart Failure	22
Chronic Obstructive Pulmonary Disease	31
Diabetes	38
Dementia	8
Cancer	6

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2019 were spinal procedures, injections, pain management and nerve block.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	33
aspiration	162
decompression surgery	60
doctor visit	1306
image guided procedures	12
injections	592
minimally invasive procedures	12
musculoskeletal imaging	33
neck surgery	33
nerve block	393
nerve procedures	60
pain management	430
spinal procedures	809
X-rays	348

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	226
Female	369

**Ethnicity**
Non-Hispanic White	549
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	231
From 75 to 84	171
85 and over	36
Less than 65	157

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2019

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2019 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	69
Stroke	3
Ischemic Heart Disease	41
Depression	33
Chronic Kidney Disease	40
Asthma	13
Osteoperosis	12
Atrial Fibrilation	8
Heart Failure	22
Chronic Obstructive Pulmonary Disease	25
Diabetes	33
Dementia	7
Cancer	6

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2020 were spinal procedures, injections, nerve block and pain management.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	27
aspiration	128
closed (non-surgical) treatment of fracture	12
decompression surgery	44
doctor visit	1241
injections	487
neck surgery	27
nerve block	359
nerve procedures	44
pain management	359
spinal procedures	639
X-rays	209

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	201
Female	294

**Ethnicity**
Non-Hispanic White	446
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	195
From 75 to 84	136
85 and over	38
Less than 65	126

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2020

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2020 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	40
Depression	36
Chronic Kidney Disease	40
Asthma	11
Osteoperosis	11
Atrial Fibrilation	7
Heart Failure	17
Chronic Obstructive Pulmonary Disease	22
Diabetes	34
Dementia	8
Cancer	8

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2021 were spinal procedures, injections, pain management and nerve block.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

arthrodesis (bone fusion surgery)	15
aspiration	167
closed (non-surgical) treatment of fracture	26
decompression surgery	33
doctor visit	1721
image guided procedures	30
injections	663
minimally invasive procedures	30
musculoskeletal imaging	46
neck surgery	15
nerve block	447
nerve procedures	33
pain management	496
spinal procedures	744
X-rays	242

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	235
Female	351

**Ethnicity**
Non-Hispanic White	537
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	233
From 75 to 84	179
85 and over	43
Less than 65	131

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2021

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2021 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	68
Stroke	5
Ischemic Heart Disease	42
Depression	36
Chronic Kidney Disease	44
Asthma	14
Osteoperosis	10
Atrial Fibrilation	6
Heart Failure	21
Chronic Obstructive Pulmonary Disease	22
Diabetes	37
Dementia	10
Cancer	9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2022 were spinal procedures, injections, pain management and nerve block.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

aspiration	145
closed (non-surgical) treatment of fracture	23
decompression surgery	14
doctor visit	1549
injections	573
musculoskeletal imaging	40
nerve block	410
nerve procedures	14
pain management	428
spinal procedures	640
X-rays	238

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	223
Female	357

**Ethnicity**
Non-Hispanic White	535
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	226
From 75 to 84	193
85 and over	51
Less than 65	110

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2022

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2022 were high cholesterol, hypertension, diabetes and chronic kidney disease.

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	31
Depression	33
Chronic Kidney Disease	35
Asthma	17
Osteoperosis	18
Atrial Fibrilation	17
Heart Failure	16
Chronic Obstructive Pulmonary Disease	27
Diabetes	37
Dementia	6
Cancer	13

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL during 2023 were spinal procedures, injections, pain management and nerve block.

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

aspiration	120
closed (non-surgical) treatment of fracture	24
doctor visit	1344
image guided procedures	12
implant surgery	13
injections	501
minimally invasive procedures	12
musculoskeletal imaging	16
nerve block	348
neurostimulator replacement	13
pain management	381
spinal procedures	564
X-rays	186

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	222
Female	296

**Ethnicity**
Non-Hispanic White	477
Black	27
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	200
From 75 to 84	188
85 and over	48
Less than 65	82

Conditions of Medicare patients treated by Dr. James D. Smith III, MD in 2023

The most common conditions of Medicare patients that Dr. James D. Smith III, MD treated during 2023 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	34
Depression	33
Chronic Kidney Disease	32
Asthma	16
Osteoperosis	17
Atrial Fibrilation	20
Heart Failure	18
Chronic Obstructive Pulmonary Disease	24
Diabetes	35
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. James D. Smith III, MD for Medicare patients.

The highest averages for the top procedures that Dr. James D. Smith III, MD treated as a spine surgeon in Gadsden, AL were spinal procedures, injections, X-rays and nerve block.

arthrodesis (bone fusion surgery)	36
aspiration	119
closed (non-surgical) treatment of fracture	21
decompression surgery	44
doctor visit	1068
fracture surgery	15
hip imaging	20
hospital care	11
image guided procedures	21
implant surgery	13
injections	372
inpatient care	11
lower extremity surgery	15
minimally invasive procedures	32
MRI (magnetic resonance imaging)	140
musculoskeletal imaging	33
neck surgery	36
nerve block	256
nerve procedures	44
neurostimulator replacement	13
pain management	253
pelvic imaging	30
spinal procedures	611
X-rays	292

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. James D. Smith III, MD.

**Gender**
Male	207
Female	321

**Ethnicity**
Black / African American	10
Asian / Pacific Islander	0
Non-Hispanic White	487
Hispanic	0
Native American / Alaskan Native	2
Other	0

**Age**
75 to 84	145
85 and over	40
Less than 65	130
65 to 74	212

Average of Total of Conditions of Medicare patients treated by Dr. James D. Smith III, MD From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. James D. Smith III, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	74
High Cholesterol	63
Stroke	4
Ischemic Heart Disease	40
Depression	34
Chronic Kidney Disease	31
Asthma	14
Osteoporosis	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	24
Diabetes	35
Atrial Fibrillation	8
Dementia	8
Cancer	7

Education & Training

Dr. James D. Smith III, MD graduated from University of Alabama at Birmingham School of Medicine in 2003. He completed residency at University of South Alabama Affiliated Hospitals. He is certified by the American Board of Orthopaedic Surgery Orthopaedic Surgery and has a state license in Missouri.

Medical School: University of Alabama at Birmingham School of Medicine (2003)

Residency: University of South Alabama Affiliated Hospitals

Board Certification: American Board of Orthopaedic Surgery Orthopaedic Surgery

Licensed In: Missouri

Affiliations & Hospitals

Dr. James D. Smith III, MD is associated with these hospitals and organizations:

Riverview Regional Hospital

Gadsden Regional Medical Center

THE ORTHOPEDIC CENTERS

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General Payments

These charts describe general payments received by Dr. James D. Smith III, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Choice Spine, LLC	$5,922 Tiger Shark System $2,000	Raven Lumbar Plate System $2,000	Raven Lateral $1,900	VEO $22
Medtronic Sofamor Danek USA, Inc.	$1,517 Thoracolumbar - TL Therapies $1,441	Thoracolumbar Therapies $28	Interventional Therapies $26	$23
Stryker Corporation	$1,040 IVS Vertebral Augmentation Products $751	TRAUMA & EXTREMITIES $161	ARIA $55	THORACO-LUMBAR $54	Allograft Bio-Implants $20
Adcura, Inc.	$572 Sagittae $572
EBI MEDICAL SYSTEMS, LLC	$134 BGS-BHS Stimulators $134
Other	$439 MySpine $55	THORACO-LUMBAR $54	ZORVOLEX $49	WaveWriter Alpha Prime 16 $40	VEO $40	Other $201

**Types of Payments**
Consulting Fee	$5,900
Travel and Lodging	$2,247
Food and Beverage	$1,476

Research Payments

Dr. James D. Smith III, MD has received 2 research payments totaling $4,460.

Ownership and Interest Payments

This table describes ownership payments received by Dr. James D. Smith III, MD.

Adcura, Inc.

2022

$1,930,551.25

Physician Covered Recipient

-Common restricted stock (founder shares)-Common converted-Convertible preferred series D-Common non-qualified stock options

Biography

Dr. James Smith's medical specialty is spine surgery and orthopedics/orthopedic surgery. Before performing his residency at a hospital affiliated with the University of South Alabama, Dr. Smith attended the University of Alabama at Birmingham School of Medicine and the University of South Alabama College of Medicine for medical school. He is affiliated with Gadsden Regional Medical Center and Riverview Regional Hospital.