Individual provider Active NPI

Gregory E Smith, M.D.

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1023063377
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26655 Issued in GA
Practice address
1404 Highland Ave
Augusta, GA 30904-5354
Phone
(706) 267-7471
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26655 GA Primary
Psychiatry Physician 2084P0800X 12698 SC

Addresses

Primary practice location

1404 Highland Ave
Augusta, GA 30904-5354

Mailing address

1404 Highland Ave
Augusta, GA 30904-5354
Phone (706) 267-7471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000672 SC Practitioner - Psychiatry 3779570957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians

Practice addresses (Care Compare)

2319 Saint Matthews Rd
Orangeburg, SC 29118-2042
Phone (803) 536-1571

400 Otarre Pkwy
Cayce, SC 29033-3751
Phone (803) 898-4566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26655GAMDPsychiatry Physician
12698SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Apr 27, 1992 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jan 1, 2012 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Apr 27, 1992 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Current Accepting new patients

Locations

1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2319 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-1571

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1023063377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 HIGHLAND AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045354",
            "telephone_number": "706-267-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 HIGHLAND AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045354",
            "telephone_number": "706-267-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "26655",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "12698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.