MRS. MARY DOYLE SMITH PT
NPI 1417936618
Physical Therapist - Orthopedic in Roswell, GA
About Mrs. Mary Doyle Smith Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY DOYLE SMITH PT (NPI 1417936618) is an individual orthopedic provider in Roswell, Georgia, licensed in Georgia (4019) and active in the NPI registry since January 2006. She is a graduate of Emory University School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mary Doyle Smith Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSWELL, GA 30076
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 Mary Smith's NPI number?
The NPI number for Mary Smith is 1417936618. It was assigned to this individual provider in the NPPES registry on January 16, 2006.
Where is Mary Smith located?
Mary Smith practices at 11660 Alpharetta Hwy Ste 115, Roswell, GA 30076. The listed phone number is (770) 992-4001.
What is Mary Smith's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Mary Smith enrolled in Medicare?
Yes. Mary Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Smith reassigns Medicare benefits to Fusion Physical Therapy, Inc (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Smith was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Mary Doyle Smith, PT · NPI 1417936618
Orthopedic provider in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since January 16, 2006.
## Identity
- **NPI:** 1417936618 (Entity type: Individual)
- **Enumerated:** January 16, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 4019 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11660 ALPHARETTA HWY STE 115, Roswell, GA 30076-3872
- **Phone:** (770) 992-4001 · **Fax:** (770) 992-4095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Fusion Physical Therapy, Inc (NPI 1437593464, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417936618) · Data from the CMS NPPES public registry.