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Michael Scott Smith , PSY

Psychologist - Clinical β€’ Lagrange, GA

Active NPI 1700304904 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

610 Ridley Ave
Lagrange, GA 302402236

Call 7068845050 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

610 Ridley Ave

Lagrange, GA 302402236

Telephone 7068845050
Organization at the Same NPPES Address or Phone
Counseling Services Of Lagrange, Inc. Facility NPI 1790197804

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Mercer University School Of Medicine

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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

2017

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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)

Michael 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

Compared with the same specialty in Lagrange and Georgia

3 active clinicians are listed under Psychologist - Clinical with a practice address in Lagrange, GA (1,169 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

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: 2023-01-31
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES 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

License # reported to NPPES GA LPC009754
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 - PSYCHOLOGIST BILLING INDEPENDENTLY

Medicare Enrollment ID

I20221114000705

Enrollment State Jurisdiction

GA

PECOS Control ID

7113394677

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

Clinicians Sharing This Practice Address or Phone

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

1 listed
Dr. Shannon Dunlap , PhD

Psychologist - Clinical

NPI 1194950857

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 31, 2023

Recorded as MICHAEL SMITH, PSY

βœ…
NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 07, 2017

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

πŸ“
Business Mailing Address (Initial Record) September 07, 2017

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

πŸ‘€
Provider Name / Credentials (Initial Record) September 07, 2017

Recorded as MICHAEL SMITH, LPC

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

Counselor (license number reported to NPPES: GA LPC009754)

🟒
Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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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

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.