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Deactivated NPI 1457609810 Deactivated / Inactive NPI Male Practitioner

Charles M Smith , R CT MR ARRT

Radiologic Technologist - Computed Tomography • Dublin, 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, Charles Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2012
NPI Deactivation Date February 18, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Charles Smith, R CT MR ARRT was a registered Radiologic Technologist - Computed Tomography practicing in Dublin, GA. Throughout an active medical career spanning 7 years, Charles Smith provided care at the practice location at 113 FAIRVIEW PARK DR until profile deactivation on 2019-02-18.

Practice Location & Contact Primary Location

Practice Address

113 Fairview Park Dr
Suite A

Dublin, GA 310212501

Telephone 4782758895
Fax 4782758896
Associated Practice Facility / Clinic
🏢 Elite Mri Of Laurens, Llc Facility NPI 1699860130

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist - Computed Tomography in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Dublin, GA (9 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

Radiologic Technologist - Computed Tomography Primary Specialty

NUCC Taxonomy Code: 2471C3401X

State License GA 175249

A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jennifer Averett , RT MR ARRT

Radiologic Technologist - Magnetic Resonance Imaging

NPI 1720325087

RTMRARRT

Jamie Carpenter , R MR

Radiologic Technologist - Magnetic Resonance Imaging

NPI 1760527766

RMR

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 February 18, 2019

Record deactivated on February 18, 2019

NPI Profile Active August 16, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2012

Registered at 113 FAIRVIEW PARK DR, SUITE A, DUBLIN, GA 310212501 (Tel: 4782758895)

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Updated Business Mailing Address August 16, 2012

Registered at 113 FAIRVIEW PARK DR, SUITE A, DUBLIN, GA 310212501 (Tel: 4782758895)

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Provider Name / Credentials Updated August 16, 2012

Recorded as CHARLES SMITH, R CT MR ARRT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2012

Radiologic Technologist (License #175249 in GA)

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Initial NPI Registration & Enumeration August 16, 2012

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: 1457609810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2012
Last Update: August 16, 2012
Deactivation Date: February 18, 2019

Mailing Address

113 Fairview Park Dr, Suite A

Dublin, GA 310212501

Phone: 4782758895

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.