BLAKE ROBERT SMITH MD
NPI 1780927269
Otolaryngology in Duluth, GA
About Blake Robert Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE ROBERT SMITH MD (NPI 1780927269) is an individual otolaryngology provider in Duluth, Georgia, licensed in Georgia (079904) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Medical College Of Georgia School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Blake Robert Smith Md 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 Blake Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Blake Smith's NPI number?
The NPI number for Blake Smith is 1780927269. It was assigned to this individual provider in the NPPES registry on April 3, 2013.
Where is Blake Smith located?
Blake Smith practices at 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096. The listed phone number is (404) 365-0966.
What is Blake Smith's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Blake Smith enrolled in Medicare?
Yes. Blake 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 Blake Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Smith reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, 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 Blake 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 Blake Smith was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Blake Robert Smith, MD · NPI 1780927269
Otolaryngology physician in Duluth, Georgia. Individual provider, active in the CMS NPPES registry since April 3, 2013.
## Identity
- **NPI:** 1780927269 (Entity type: Individual)
- **Enumerated:** April 3, 2013
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 079904 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3650 STEVE REYNOLDS BLVD DEPT OF, Duluth, GA 30096-4506
- **Phone:** (404) 365-0966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** January 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780927269) · Data from the CMS NPPES public registry.