DEMETRIUS RASHAD SMITH
NPI 1114643400
Counselor - Professional in Brookhaven, GA

Active since October 18, 2022PECOS Enrolled
2801 BUFORD HWY NE STE 100, BROOKHAVEN, GA 30329(678) 820-7830(678) 373-0339 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Jan 8, 2025, Oct 18, 2022 (3 updates tracked since 2022).

About Demetrius Rashad Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS RASHAD SMITH (NPI 1114643400) is an individual professional provider in Brookhaven, Georgia, licensed in Georgia (LPC015244) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mobile, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114643400
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEMETRIUS RASHAD SMITH
Location Address2801 BUFORD HWY NE STE 100Brookhaven, GA 30329-2146
Mailing Address114 Esplanade AveMobile, AL 36606-5057 · (251) 545-9659
Fax(678) 373-0339
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 18, 2022
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1114643400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC015244
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC04633 (AL)
2801 BUFORD HWY NE STE 100, Brookhaven, GA 30329

Secondary Practice Location 1

Location 13351 Moffett RdMobile, AL 36607-1713 · Phone (251) 423-4014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Demetrius Rashad Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42788192
PECOS Enrollment IDI20260506003115
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Nurse Practitioner
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Nurse Practitioner (Psychiatric/Mental Health)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Nurse Practitioner (Psychiatric/Mental Health)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Counselor (Professional)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Counselor (Professional)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Social Worker (Clinical)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329
Counselor (Professional)
2801 BUFORD HWY NE STE 100
BROOKHAVEN, GA 30329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Smith's NPI number?

The NPI number for Demetrius Smith is 1114643400. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Demetrius Smith located?

Demetrius Smith practices at 2801 Buford Hwy NE Ste 100, Brookhaven, GA 30329. The listed phone number is (678) 820-7830.

What is Demetrius Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Demetrius Smith enrolled in Medicare?

Yes. Demetrius Smith is registered in the Medicare PECOS enrollment system.

What insurance does Demetrius Smith accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Demetrius Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Demetrius Smith was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.