Larry Ray Smith, MD | |
330 Hawthorne Ln, Athens, GA 30606-2152 | |
(706) 613-8500 | |
Not Available |
Full Name | Larry Ray Smith |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 48 Years |
Location | 330 Hawthorne Ln, Athens, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619953569 | NPI | - | NPPES |
000287328O | Medicaid | GA | |
MEDICARE | Other | GA | 202I034440 |
000287328N | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 23506 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Hospital | Louisville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Consolidated Emergency Services Llc | 2860792066 | 36 |
Allergy Partners Pllc | 7113822420 | 152 |
Entity Name | Allergy Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952391385 PECOS PAC ID: 7113822420 Enrollment ID: O20040427000965 |
Entity Name | Southland Emergency Medical Services Consolidated, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Southland Consolidated Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
Entity Name | Madison Emergency Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770193419 PECOS PAC ID: 2961829072 Enrollment ID: O20200902003387 |
Mailing Address | Practice Location Address |
---|---|
Larry Ray Smith, MD Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Larry Ray Smith, MD 330 Hawthorne Ln, Athens, GA 30606-2152 Ph: (706) 613-8500 |
Dean Evan Firschein, M. D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 330 Hawthorne Ln, Athens, GA 30606 Phone: 706-613-8500 Fax: 706-613-8844 | |
Dr. Loren W Hunt Jr., M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 330 Hawthorne Ln, Athens, GA 30606 Phone: 706-613-8500 Fax: 706-613-8844 | |
Dr. Anthony John Deutsch, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 330 Hawthorne Ln, Athens, GA 30606 Phone: 706-546-8518 Fax: 706-546-9092 |