DR. JERRY ALTON SMITH M.D.
NPI 1417996448
Family Medicine in Ruston, LA

Q: What is Jerry Smith's NPI number?

The NPI number for Jerry Smith is 1417996448. It was assigned to this individual provider in the NPPES registry on June 5, 2006. The provider is also known as Dr. Jerry Alton Smith M.D..

Q: What is Jerry Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Smith was last updated on July 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since June 05, 2006PECOS Enrolled

902 S VIENNA ST, RUSTON, LA 71270(318) 513-1950(318) 513-1952 Get Directions Write a Review

NPPES record last updated: July 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jerry Alton Smith M.d. NPPES

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

DR. JERRY ALTON SMITH M.D. (NPI 1417996448) is an individual family medicine provider in Ruston, Louisiana, licensed in Louisiana (018988) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417996448

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JERRY ALTON SMITHCredential: M.D.

Location Address902 S VIENNA STRuston, LA 71270-5830

Mailing AddressPo Box 2034Ruston, LA 71273-2034 · (318) 513-1950 · Fax (318) 513-1952

Phone(318) 513-1950

Fax(318) 513-1952

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateJuly 31, 2011

✔ NPI 1417996448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 018988

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

902 S VIENNA ST, Ruston, LA 71270

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Jerry Alton Smith M.d.

Other Identifiers 3

Medicare ID-Type Unspecified4E238CN30LA

Medicare UPINE71025LA

Medicaid1691542LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Alton Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers13 claims34 services$6.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

ADALA HEALTH, LLC

Family Medicine