Active NPI
Gregory Allen Smith, MD
- Gynecology Physician
- Atlanta, GA
National Provider Identifier
1992769202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 034511
- Practice address
- 315 Blvd NE
Ste 336
Atlanta, GA 30312 - Phone
- (404) 522-4888
- Fax
- (404) 581-0379
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 034511 | GA | |
| Gynecology Physician | 207VG0400X | 034511 | GA | Primary |
Addresses
Primary practice location
315 Blvd NE
Ste 336
Atlanta, GA 30312
Mailing address
315 Blvd NE
Ste 336
Atlanta, GA 30312
Phone (404) 522-4888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024912 | Other | BCBS | |
| 000461128 | Medicaid | GA | |
| 480791 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034511 | GA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracey R. Lemon, M.D., P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1588848485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1992769202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 BLVD NE",
"address_2": "STE 336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "404-522-4888",
"fax_number": "404-581-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 BLVD NE",
"address_2": "STE 336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "404-522-4888",
"fax_number": "404-581-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "034511",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "034511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "024912",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000461128",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "480791",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.