Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154095495 Individual Practitioner Female Practitioner

Sandra Dale Smith

Counselor • Carrollton, GA

Professional Overview & Biography Verified Profile Summary

Sandra Smith is a registered healthcare professional specializing in Counselor in Carrollton, GA. Practice services are available at 523 DIXIE ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

523 Dixie St Ste 1

Carrollton, GA 301173870

Telephone 7704563266
Associated Practice Facility / Clinic
🏢 Tanner Medical Center, Inc. Facility NPI 1033441290

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
34 Specialists

Practicing in Carrollton, GA (1557 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

Medical Specialties & State Licenses

CMS Verified: 2023-11-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Tabitha Copeland

Counselor - Mental Health

NPI 1508403122
Dr. Heather Ford , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1720369234

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2021

Registered at 523 DIXIE ST STE 1, CARROLLTON, GA 301173870 (Tel: 7704563266)

📍
Updated Business Mailing Address August 02, 2021

Registered at 322 NORTHLAKE DR, WARNER ROBINS, GA 310931646 (Tel: 4789527901)

👤
Provider Name / Credentials Updated August 02, 2021

Recorded as SANDRA SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Counselor

🟢
Initial NPI Registration & Enumeration August 02, 2021

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: 1154095495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2021
Last Update: November 28, 2023
Sole Proprietor: Yes

Mailing Address

322 Northlake Dr

Warner Robins, GA 310931646

Phone: 4789527901

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.