Larry R Smith (NPI# 1619953569, PAC ID# 1557443355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1619953569 |
| PAC ID by PECOS | 1557443355 |
| Professional Enrollment ID | I20080201000332 |
| Full Name | Larry R Smith |
| Organization Legal Name | ALLERGY PARTNERS PA |
| Address |
330 Hawthorne Ln Athens GA 30606-2152 |
| Phone Number | 7066138500 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1976 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 7113822420 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110100 | JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 Hawthorne Ln, Athens, GA 30606-2152 | 7066138500 | ALLERGY PARTNERS PA |
| 314 N Broad St, Suite 210, Winder, GA 30680-2163 | 7703073434 | ALLERGY PARTNERS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ALLERGY PARTNERS PA |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Renee Richards | Physician Assistant | Allergy Partners Pa | 8012 E 10th St A, Indianapolis, IN 46219-5211 |
| Amanda Jane Reid | Nurse Practitioner | Allergy Partners Pa | 1606 Us Hwy 27 N, Cynthiana, KY 41031-3718 |
| Robert A Sullivan | Allergy/immunology | Allergy Partners Pa | 3619 Old Forest Rd, Lynchburg, VA 24501-2952 |
| Ahmad Hamad | Allergy/immunology | Allergy Partners Pa | 8233 Old Courthouse Rd, Suite 310, Vienna, VA 22182-3816 |
| Shahrooz Shayegan | Allergy/immunology | Allergy Partners Pa | 14520 Avion Pkwy, Suite 150, Chantilly, VA 20151-1114 |
| Jack George Ghably | Allergy/immunology | Allergy Partners Pa | 820 Pinehurst Dr Ne, Rio Rancho, NM 87124-2128 |
| Samata Kamireddy | Allergy/immunology | Allergy Partners Pa | 8485 B Bell Creek Rd, Mechanicsville, VA 23116-3866 |
| Lindsey J Williford | Nurse Practitioner | Allergy Partners Pa | 147 E Main St, Suite 101, Brevard, NC 28712-4619 |
| Chitra Rao Natalie | Allergy/immunology | Allergy Partners Pa | 100 N Curry Pike, Suite 3, Bloomington, IN 47404-2593 |
| Hector Rodriguez Jr. | Allergy/immunology | Allergy Partners Pa | 103 Midlands Ct, West Columbia, SC 29169-3456 |
| Street Address |
330 HAWTHORNE LN |
| City | ATHENS |
| State | GA |
| Zip | 30606-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean E Firschein | Allergy/immunology | Allergy Partners Pa | 330 Hawthorne Ln, Athens, GA 30606-2152 |
| Loren W Hunt Jr. | Allergy/immunology | Allergy Partners Pa | 330 Hawthorne Ln, Athens, GA 30606-2152 |
| Tamara S Hunter | Nurse Practitioner | Allergy Partners Pa | 330 Hawthorne Ln, Athens, GA 30606-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | ATHENS + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Larry R Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.