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

Larry Ray Smith, MD

Individual provider Allergy & Immunology Physician · NPI 1619953569

Larry Ray Smith, MD is an Allergy/Immunology in Athens, Georgia. Graduated from Medical College of Georgia School of Medicine in 1976, 50 years ago. Practices with Southland Consolidated Emergency Services LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
50
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
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

330 Hawthorne Ln
Athens, GA 30606-2152
Phone: (706) 613-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 23506 (GA)

Record details

NPI number1619953569
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing addressPo Box 603725, Charlotte, NC 28260-3725

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Southland Consolidated Emergency Services Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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