Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700304904 Individual Practitioner Male Practitioner

Michael Scott Smith , PSY

Psychologist - Clinical • Lagrange, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Smith, PSY is a certified Psychologist - Clinical practicing in Lagrange, GA. With approximately 5 years of clinical experience since graduating from Mercer University School Of Medicine in 2021, Michael Smith delivers high-quality medical care to the local community at 610 RIDLEY AVE.

Michael Smith accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

610 Ridley Ave

Lagrange, GA 302402236

Telephone 7068845050
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Lagrange, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Lagrange, GA (1219 Statewide)

Telehealth Adoption Rate
33.3% 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 (5 Years) 5 Yrs
Lagrange Specialty Average (11.0 Years) 11.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-01-31
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License GA PSY004636

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License GA LPC009754

Definition to come...

Practice Associates & Co-Workers

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

6 Associated Practitioners
Taylor Hamm , MA

Counselor - Professional

NPI 1003400359

Master of Arts

Leona Bleich

Counselor - Professional

NPI 1154944601
Dr. Shannon Dunlap , PhD

Psychologist - Clinical

NPI 1194950857

Doctor of Philosophy (Ph.D.)

Tracey Tenney , LAPC

Counselor - Professional

NPI 1588136394
Heike Barnett , LAPC

Counselor - Professional

NPI 1609348366
Ratoya Mason

Counselor - Professional

NPI 1962092007

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated January 31, 2023

Recorded as MICHAEL SMITH, PSY

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2017

Registered at 610 RIDLEY AVE, LAGRANGE, GA 302402236 (Tel: (706) 884-5050)

📍
Updated Business Mailing Address September 07, 2017

Registered at 610 RIDLEY AVE, LAGRANGE, GA 302402236 (Tel: 7068845050)

👤
Provider Name / Credentials Updated September 07, 2017

Recorded as MICHAEL SMITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Counselor (License #LPC009754 in GA)

🟢
Initial NPI Registration & Enumeration September 07, 2017

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: 1700304904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2017
Last Update: January 31, 2023
Sole Proprietor: Yes

Mailing Address

610 Ridley Ave

Lagrange, GA 302402236

Phone: 7068845050

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.