# SMITH MEDICAL GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467245290
- **Authorized official:** MARY SMITH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (678) 252-9502

## Contact information

- **Practice address:** 3400 CHAPEL HILL RD STE 105, DOUGLASVILLE, GA 30135-1739
- **Practice address phone:** (678) 741-5319
- **Mailing address:** 3400 CHAPEL HILL RD STE 105, DOUGLASVILLE, GA 30135-1739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2025
- **Last updated:** 09/11/2025