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Deactivated NPI 1093904914 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Lee Smith , MD

General Practice • Menlo, 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. Gary Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Smith, MD was a registered General Practice practicing in Menlo, GA. Throughout an active medical career spanning 15 years, Dr. Smith provided care at the practice location at 2968 HIGHWAY 337 until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2968 Highway 337

Menlo, GA 30731

Telephone 7068621213
Fax 7066593539

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Menlo, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Menlo, GA (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
105 72 $128.00 $51.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
75 45 $97.00 $39.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
29 17 $38.72 $13.55

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 010666

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 11, 2015

Registered at 2968 HIGHWAY 337, MENLO, GA 30731 (Tel: 7068621213)

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Updated Business Mailing Address May 11, 2015

Registered at PO BOX 276, MENLO, GA 307310276 (Tel: 7068621213)

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Provider Name / Credentials Updated May 11, 2015

Recorded as GARY SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

General Practice (License #010666 in GA)

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Initial NPI Registration & Enumeration October 16, 2007

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: 1093904914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2007
Last Update: May 11, 2015
Deactivation Date: January 28, 2022

Mailing Address

Po Box 276

Menlo, GA 307310276

Phone: 7068621213

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.