Larry Ray Smith, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

23506 Issued in GA

Practice address

330 Hawthorne LN
Athens, GA 30606-2152

Phone

(706) 613-8500

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Specialty

Allergy/Immunology

Education

Medical College of Georgia School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians

Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Home Health Services Home health agency, Waynesboro, GA, CCN 117068
• Enhabit Home Health Home health agency, Hartwell, GA, CCN 117069
• Jefferson Hospital Hospital, Louisville, GA, CCN 110100
• St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Athens, GA
  • NPI 1952391385
  Medicare reassignment Care Compare group NPD
• Southland Consolidated Emergency Services, LLC

  • Emergency Medicine Physician
  • Elberton, GA
  • NPI 1174917124
  Medicare reassignment Care Compare group NPD
• Madison Emergency Group, PC

  • Emergency Medicine Physician
  • Madison, GA
  • NPI 1770193419
  Medicare reassignment NPD
• Southland Emergency Medical Services Consolidated, LLC

  • Hospitalist Physician
  • Cochran, GA
  • NPI 1033464391
  Medicare reassignment NPD
• Cherokee County Physicians, LLC

  • Emergency Medicine Physician
  • Centre, AL
  • NPI 1760958680
  Medicare reassignment NPD
• Hospital Authority of Jefferson County and the City of Louisville

  • Psychiatric Hospital Unit
  • Louisville, GA
  • NPI 1417554437
  NPD (past)
• The Baxley and Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

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

• Caresouth HHA Holdings of Washington, LLC

  • Home Health Agency
  • Hartwell, GA
  • NPI 1740268176
  Care Compare affiliation
• Hospital Authority of Jefferson County and the City of Louisville

  • General Acute Care Hospital
  • Louisville, GA
  • NPI 1710992433
  Care Compare affiliation
• LHCG CLXV, LLC

  • Home Health Agency
  • Waynesboro, GA
  • NPI 1467063529
  Care Compare affiliation
• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation
• St. Mary'S Good Samaritan Hospital, Inc.

  • Critical Access Hospital
  • Greensboro, GA
  • NPI 1346209137
  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1619953569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062152",
            "telephone_number": "706-613-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRY",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "23506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000287328O",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "202I034440",
            "identifier": "MEDICARE",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000287328N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Smith, B.S.
• Jerry O Smith, MD
• Jesse Smith, NP
• John Isaac Smith, PT, DPT
• Kasey Smith, MSW, LMSW
• Lisa D Smith, MD
• Mahogania Smith, LMSW
• Melissa Dockery Smith, RN
• Millicent Smith, LCSW, CAADC, CPS
• Nathan Smith, MD

• Allergy & Immunology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.