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Deactivated NPI 1518949973 Deactivated / Inactive NPI Male Practitioner

Dr. Randolph Relihan Smith , MD

Surgery - Plastic and Reconstructive Surgery • Augusta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randolph Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 18, 2005
NPI Deactivation Date August 19, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Smith, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Augusta, GA. Throughout an active medical career spanning 14 years, Dr. Smith provided care at the practice location at 1348 WALTON WAY until profile deactivation on 2019-08-19.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1348 Walton Way
Suite 6300

Augusta, GA 309015104

Telephone 7067245611
Fax 7067245435
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Augusta, GA (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
53 42 $110.00 $65.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
26 26 $165.00 $97.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $255.00 $149.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $170.00 $97.27

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License GA 013533

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Christopher Ewart , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1356323802

Doctor of Medicine (M.D.)

NPI 1447483664

Doctor of Medicine (M.D.)

Natalie Daniel

Registered Nurse - Plastic Surgery

NPI 1558727487
Christy Wilson , RN

Registered Nurse - Plastic Surgery

NPI 1801252671

Registered Nurse

Christy Fleming , CFA

Specialist/Technologist, Other - Surgical Technologist

NPI 1902852338

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 19, 2019

Record deactivated on August 19, 2019

NPI Profile Active August 14, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2012

Registered at 1348 WALTON WAY, SUITE 6300, AUGUSTA, GA 309015104 (Tel: 7067245611)

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Updated Business Mailing Address August 14, 2012

Registered at 1348 WALTON WAY, SUITE 6300, AUGUSTA, GA 309015104 (Tel: 7067245611)

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Provider Name / Credentials Updated August 14, 2012

Recorded as RANDOLPH SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2012

Surgery (License #013533 in GA)

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Initial NPI Registration & Enumeration November 18, 2005

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: 1518949973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2005
Last Update: August 14, 2012
Deactivation Date: August 19, 2019

Mailing Address

1348 Walton Way, Suite 6300

Augusta, GA 309015104

Phone: 7067245611

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.