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

Michael Scott Smith, PSY

Individual provider Professional Counselor · NPI 1700304904

Michael Scott Smith, PSY is a Clinical Psychologist in Lagrange, Georgia. Graduated from Mercer University School of Medicine in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

610 Ridley Ave
Lagrange, GA 30240-2236
Phone: (706) 884-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY004636 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC009754 (GA)

Record details

NPI number1700304904
Entity typeIndividual (Type 1)
GenderMale
Credentials PSY
Sole proprietorYes
NPI enumeratedSeptember 7, 2017
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address610 Ridley Ave, Lagrange, GA 30240-2236

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lagrange