MICHAEL SCOTT SMITH PSY
NPI 1700304904
Psychologist - Clinical in Lagrange, GA

Active since September 07, 2017Accepts Medicare Assignment
610 RIDLEY AVE, LAGRANGE, GA 30240(706) 884-5050 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Michael Scott Smith Psy NPPES

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

MICHAEL SCOTT SMITH PSY (NPI 1700304904) is an individual clinical provider in Lagrange, Georgia, licensed in Georgia (PSY004636) and active in the NPI registry since September 2017. He is a graduate of Mercer University School Of Medicine (2021).

NPPES Registry Identity

NPI1700304904
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL SCOTT SMITHCredential: PSY
Location Address610 RIDLEY AVELagrange, GA 30240-2236
Mailing Address610 Ridley AveLagrange, GA 30240-2236 · (706) 884-5050
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2021
Enumeration DateSeptember 7, 2017
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1700304904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY004636
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC009754 (GA)
610 RIDLEY AVE, Lagrange, GA 30240

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Scott Smith Psy 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.

PECOS PAC ID7113394677
PECOS Enrollment IDI20221114000705

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Psychologist (Clinical)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240
Psychologist (Clinical)
610 RIDLEY AVE
LAGRANGE, GA 30240
Counselor (Professional)
610 RIDLEY AVE
LAGRANGE, GA 30240

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 Michael Smith's NPI number?

The NPI number for Michael Smith is 1700304904. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Michael Smith located?

Michael Smith practices at 610 Ridley Ave, Lagrange, GA 30240. The listed phone number is (706) 884-5050.

What is Michael Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Smith enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.