DR. JERRY O SMITH MD NPI 1962456012

NPI Information

  • NPI: 1962456012
  • Provider Name: DR. JERRY O SMITH, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1199 PRINCE AVE
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 475-7000

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NPI Details

DR. Jerry O Smith, MD is a diagnostic radiology radiology in Athens, GA with 51 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jerry O Smith, MD NPI is 1962456012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

1199 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 475-7000

The NPI 1962456012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)

The enumeration date for this NPI number is 5/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology17885GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E72856MEDICARE UPIN
230BDDBPMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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