Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093974974 Individual Practitioner Female Practitioner

Dr. Alexis Deana Smith , MD

Surgery - Pediatric Surgery • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexis Smith, MD is a certified Surgery - Pediatric Surgery practicing in Augusta, GA. With approximately 18 years of clinical experience since graduating from Wake Forest University School Of Medicine in 2008, Dr. Smith delivers high-quality medical care to the local community at 1120 15TH ST.

Dr. Smith is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309123806

Telephone 7067218623
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Augusta, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -5.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Augusta, GA (34 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (18 Years) 18 Yrs
Augusta Specialty Average (23.0 Years) 23.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-12
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License GA 79022

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License RI MD15118

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License MT 165095

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

1439 Jesse Jewell Pkwy Ne, Gainesville, GA 305013806

Phone: 7702190023

Secondary Practice Locations

593 Eddy St

Providence, RI 029034923

Phone: 4014448579

1439 Jesse Jewell Pkwy Ne Ste 301

Gainesville, GA 305013806

Phone: 7702199234

202 Conway Dr Ste 200

Kalispell, MT 599013153

Phone: 4067587490

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jack Ellis , DO

Internal Medicine

NPI 1003115254

Doctor of Osteopathic Medicine (D.O.)

Dr. Noelle Rolle , MD

Internal Medicine - Rheumatology

NPI 1003249194

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

NPI 1003299793

Doctor of Medicine (M.D.)

Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Winkler , MD

Radiology - Diagnostic Radiology

NPI 1003846692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2025

Surgery (License #79022 in GA)

📍
Updated Practice Location April 09, 2025

Registered at 1120 15TH ST, AUGUSTA, GA 309123806 (Tel: 7067218623)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2024

Surgery (License #MD15118 in RI)

📍
Updated Practice Location January 18, 2024

Registered at 1439 JESSE JEWELL PKWY NE STE 301, GAINESVILLE, GA 305013806 (Tel: 7702199234)

📍
Updated Business Mailing Address January 18, 2024

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Surgery (License #79022 in GA)

NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2016

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014448579)

📍
Updated Business Mailing Address March 14, 2016

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923

👤
Provider Name / Credentials Updated March 14, 2016

Recorded as ALEXIS SMITH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

Surgery (License #MD15118 in RI)

🟢
Initial NPI Registration & Enumeration June 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093974974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2008
Last Update: November 12, 2025
Sole Proprietor: No

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.