Individual provider Active NPI

Clifford Randy Smith, MD

  • Diagnostic Radiology Physician
  • Athens, GA
National Provider Identifier
1275512956
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38613 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606
Phone
(706) 548-7581
NPI assigned
Jan 11, 2006
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38613 GA Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606

Mailing address

485 Huntington Rd
#180
Athens, GA 30606
Phone (706) 546-6841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040611001315 GA Practitioner - Diagnostic Radiology 7012990773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of North GeorgiaGroup PAC ID 2769715044, 36 clinicians
Athens Radiology Associates PCGroup PAC ID 2860486107, 34 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 548-7581

245 Floyd Dr
Athens, GA 30607-1469
Phone (762) 356-4780

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia LLC CurrentSince May 1, 2022 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Dec 31, 2021 Accepting new patients
Radiology Associates of North Georgia Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Synergy Radiology, LLC CurrentSince May 1, 2022 Accepting new patients
Athens Radiology Associates PC Diagnostic Radiology CurrentSince Jul 1, 1997 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Jan 22, 2022 Accepting new patients
Pro Radiology, LLC PastSince May 1, 2022 Accepting new patients
Medical Radiology Consultants, LLC Diagnostic Radiology Past Accepting new patients
Centra Medical Group, LLC Past Accepting new patients

Locations

1063 Baxter St
Athens, GA 30606
Phone (706) 316-3662

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

485 Huntington Rd
Ste 180
Athens, GA 30606
Phone (706) 546-6841

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

6025 Professional Pkwy
Ste 104
Douglasville, GA 30134
Phone (770) 444-9981

9459 Highway 5
Ste R
Douglasville, GA 30135

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1305 Jennings Mill Rd
Ste 130
Watkinsville, GA 30677
Phone (706) 475-6881

Interoperability endpoints

  • Direct secure messaging: csmith2018365@direct.trinity-health.org

Organizations & group practices 10

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1275512956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "#180",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-546-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-548-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLIFFORD",
        "middle_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "38613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.