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Deactivated NPI 1275535809 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Everett Smith , MD

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

Registration / Start Date August 12, 2005
NPI Deactivation Date June 19, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Smith, MD was a registered General Practice practicing in Sugarhill, GA. Throughout an active medical career spanning 13 years, Dr. Smith provided care at the practice location at 4720 NELSON BROGDON BLVD until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

4720 Nelson Brogdon Blvd

Sugarhill, GA 305183480

Telephone 7709451990
Fax 7709453631
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Sugarhill, GA

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

Practicing in Sugarhill, GA (369 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 022277

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

Practice Associates & Co-Workers

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

7 Associated Practitioners
Mary Ostaszewski , FNP-C

Nurse Practitioner - Family

NPI 1003013236

Family Nurse Practitioner (Certified)

Caitlyn Haygood , PA-C

Physician Assistant

NPI 1225781818

Physician Assistant (Certified)

Jorge Montero , FNP

Nurse Practitioner - Family

NPI 1457022147

Family Nurse Practitioner

Melissa Schweiker , NP-C

Nurse Practitioner - Family

NPI 1528408598

Nurse Practitioner (Certified)

Dr. Robert Dambach , DO

Internal Medicine

NPI 1538161252

Doctor of Osteopathic Medicine (D.O.)

Tasha Casto , FNP

Nurse Practitioner - Family

NPI 1710076609

Family Nurse Practitioner

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 June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4720 NELSON BROGDON BLVD, SUGARHILL, GA 305183480 (Tel: 7709451990)

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Updated Business Mailing Address July 08, 2007

Registered at 4720 NELSON BROGDON BLVD, SUGARHILL, GA 305183480 (Tel: 7709451990)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #022277 in GA)

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Initial NPI Registration & Enumeration August 12, 2005

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: 1275535809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2005
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

4720 Nelson Brogdon Blvd

Sugarhill, GA 305183480

Phone: 7709451990

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.