Individual
DUSTIN JARED SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2292 PEACHTREE RD NW, ATLANTA, GA 30309-1147
(404) 996-0120
(404) 351-6762
Mailing address
3710 CLOUDLAND DR NW, ATLANTA, GA 30327-2910
(208) 585-1384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101661
GA
207Q00000X
Family Medicine Physician
MD156439
OR
207Q00000X
Family Medicine Physician
MR-0995
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500640264
—
OR
05
—
808095300
—
ID
01
—
P01027050
RR MEDICARE (PROVIDENCE)
OR
Enumeration date
06/20/2008
Last updated
01/08/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us