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

Greg D Smith, APNP

Individual provider Gerontology Nurse Practitioner · NPI 1194255950

Greg D Smith, APNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
9
Licensed in
OR, WI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

555 Black Oak Dr
Medford, OR 97504
Phone: (541) 789-8176
Show map & directions

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

Additional practice locations (1)

  • 555 Black Oak Dr, Medford, OR 97504 — (541) 789-8176

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201902885NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 7702-33 (WI)

Record details

NPI number1194255950
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address2620 E Barnett Rd Ste H, Medford, OR 97504-8383

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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