Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Robert Smith, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780927269

Blake Robert Smith, MD is an Otolaryngology in Duluth, Georgia. Graduated from Medical College of Georgia School of Medicine in 2013, 13 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3650 Steve Reynolds Blvd Dept OF
Duluth, GA 30096-4506
Phone: (404) 365-0966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-4949

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 079904 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780927269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2013
Last updated in NPPESJanuary 17, 2019
Mailing address9500 Euclid Ave, Head And Neck Institute, Cleveland Clinic, Cleveland, OH 44195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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