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

Derrick Smith

Individual provider Contractor · NPI 1003366840

Derrick Smith is a Contractor in Leesburg, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

100 Medley Dr
Leesburg, GA 31763-3272
Phone: (229) 343-8849
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 17100000X (GA)

Record details

NPI number1003366840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address100 Medley Dr, Leesburg, GA 31763-3272

Other providers in Leesburg