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Demetrius Rashad Smith

Counselor - Professional β€’ Brookhaven, GA

Active NPI 1114643400 Individual Practitioner Male Practitioner
Practice location in NPPES

2801 Buford Hwy Ne Ste 100
Brookhaven, GA 303292146

Call 6788207830 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2801 Buford Hwy Ne Ste 100

Brookhaven, GA 303292146

Telephone 6788207830
Fax 6783730339
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mobile, AL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Demetrius Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Demetrius Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brookhaven and Georgia

37 active clinicians are listed under Counselor - Professional with a practice address in Brookhaven, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brookhaven

10.8% of these 37 clinicians have the CMS telehealth indicator.

16.2% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC015244
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES AL LPC04633
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260506003115

Enrollment State Jurisdiction

GA

PECOS Control ID

0042788192

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3351 Moffett Rd

Mobile, AL 366071713

Phone: 2514234014

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Brooke Boccaccio , APRN-NP

Nurse Practitioner

NPI 1093203465

APRNNP

Allison Gilley , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124674999

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jessica Igbalajobi , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164004917

Psychiatric-Mental Health Nurse Practitioner

Joseph Pfeffer , LCSW

Social Worker - Clinical

NPI 1437709086

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 13, 2025

Registered at 2801 BUFORD HWY NE STE 100, BROOKHAVEN, GA 303292146 (Tel: 6788207830)

πŸ“
Updated Practice Location January 08, 2025

Registered at 3351 MOFFETT RD, MOBILE, AL 366071713 (Tel: 2514234014)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Counselor (license number reported to NPPES: AL LPC04633)

βœ…
NPI Profile Active October 18, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 18, 2022

Registered at 114 ESPLANADE AVE, MOBILE, AL 366065057 (Tel: 2515459659)

πŸ“
Business Mailing Address (Initial Record) October 18, 2022

Registered at 114 ESPLANADE AVE, MOBILE, AL 366065057 (Tel: 2515459659)

πŸ‘€
Provider Name / Credentials (Initial Record) October 18, 2022

Recorded as DEMETRIUS SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2022

Counselor (license number reported to NPPES: AL 4633)

🟒
Initial NPI Registration & Enumeration October 18, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114643400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2022
Last Update: November 13, 2025
Sole Proprietor: Yes

Mailing Address

114 Esplanade Ave

Mobile, AL 366065057

Phone: 2515459659

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.