GREGORY SCOTT SMITH MD
NPI 1861582934
Family Medicine in Lilburn, GA

Active since October 12, 2006PECOS Enrolled
4030 LAWRENCEVILLE HWY NW, STE. 9, LILBURN, GA 30047(770) 921-4811(770) 921-7943 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory Scott Smith Md NPPES

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

GREGORY SCOTT SMITH MD (NPI 1861582934) is an individual family medicine provider in Lilburn, Georgia, licensed in Georgia (042440) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1991).

NPPES Registry Identity

NPI1861582934
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY SCOTT SMITHCredential: MD
Location Address4030 LAWRENCEVILLE HWY NW, STE. 9Lilburn, GA 30047-3011
Mailing AddressPo Box 769609Roswell, GA 30076-8224 · (770) 921-4811 · Fax (770) 921-7943
Fax(770) 921-7943
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1991
Enumeration DateOctober 12, 2006
Last NPPES UpdateDecember 15, 2014
NPI 1861582934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 042440
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.

4030 LAWRENCEVILLE HWY NW, Lilburn, GA 30047

Other Identifiers 6

Other1609816123GA · Georgia Clinic Pc Group Npi #
Medicare PIN20208I6753GA
Medicare UPING85558GA
Medicaid003124308BGA
Medicaid003124308AGA
Medicaid003124308CGA

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)

Gregory Scott Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193983716
PECOS Enrollment IDI20120605000284
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services61 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
106 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
47 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
37 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%4,129 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
99%171 patients5/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
71%415 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
91%1,293 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%1,293 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,293 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.26 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.57 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 7

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

Physician Assistant (Medical)
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Dentist (General Practice)
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Optometrist
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Dentist (General Practice)
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Dentist (Orthodontics and Dentofacial Orthopedics)
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Dentist (General Practice)
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Dentist (General Practice)
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047

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 Gregory Smith's NPI number?

The NPI number for Gregory Smith is 1861582934. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Gregory Smith located?

Gregory Smith practices at 4030 Lawrenceville Hwy NW Ste. 9, Lilburn, GA 30047. The listed phone number is (770) 921-4811.

What is Gregory Smith's specialty?

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

Is Gregory Smith enrolled in Medicare?

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

What insurance does Gregory Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Gregory 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 Gregory Smith was last updated on December 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.