Gregory Scott Smith, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042440 Issued in GA

Practice address

4030 Lawrenceville Hwy NW
Ste. 9
Lilburn, GA 30047-3011

Phone

(770) 921-4811

Fax

(770) 921-7943

NPI assigned

Oct 12, 2006

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 4

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

Specialty

Family Practice

Education

Howard University College of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Georgia Clinic, PCGroup PAC ID 8426949587, 23 clinicians

Modern Internal Medicine Urgent Care and Primary Care Inc.Group PAC ID 9436487469, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/21463/brand/1/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.

• Georgia Clinic, PC

  • Multi-Specialty Clinic/Center
  • Dunwoody, GA
  • NPI 1609816123

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Modern Internal Medicine Urgent Care and Primary Care Inc

  • Primary Care Nurse Practitioner
  • Atlanta, GA
  • NPI 1528612694
  Medicare reassignment Care Compare group NPD
• Family & Occupational Medicine of Conyers

  • Family Medicine Physician
  • Conyers, GA
  • NPI 1013281948
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1861582934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769609",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768224",
            "telephone_number": "770-921-4811",
            "fax_number": "770-921-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 LAWRENCEVILLE HWY NW",
            "address_2": "STE. 9",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473011",
            "telephone_number": "770-921-4811",
            "fax_number": "770-921-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA CLINIC PC GROUP NPI #",
            "identifier": "1609816123",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124308C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124308A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124308B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaspinder K Singh, SONOGRAPHER
• Summer Sizemore, PHARMD
• Smile Pleasant Hill LLC
• Telron Smiley
• Smith Dental Care of Lilburn, Inc.
• Heather Hastings Smith
• Jeffrey Stephen Smith, D.D.S.
• Jeremy Robert Smith, D.M.D.
• Melissa A Smith, PHARMD
• Rebekah Smith, LCSW

• Family Medicine Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.