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Deactivated NPI 1336324839 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Smith , MD

Specialist • Smyrna, 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. Douglas Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2008
NPI Deactivation Date July 16, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Smith, MD was a registered Specialist practicing in Smyrna, GA. Throughout an active medical career spanning 11 years, Dr. Smith provided care at the practice location at 1520 COLLIER PL SE until profile deactivation on 2019-07-16.

Practice Location & Contact Primary Location

Practice Address

1520 Collier Pl Se

Smyrna, GA 300804400

Telephone 7703191777
Fax 7704369400

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Smyrna, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Smyrna, GA (979 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 006980

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 July 16, 2019

Record deactivated on July 16, 2019

NPI Profile Active January 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 02, 2008

Registered at 1520 COLLIER PL SE, SMYRNA, GA 300804400 (Tel: 7703191777)

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Updated Business Mailing Address January 02, 2008

Registered at 1520 COLLIER PL SE, SMYRNA, GA 300804400 (Tel: 7703191777)

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Provider Name / Credentials Updated January 02, 2008

Recorded as DOUGLAS SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2008

Specialist (License #006980 in GA)

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Initial NPI Registration & Enumeration January 02, 2008

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: 1336324839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2008
Last Update: January 02, 2008
Deactivation Date: July 16, 2019

Mailing Address

1520 Collier Pl Se

Smyrna, GA 300804400

Phone: 7703191777

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.