MR. RALPH HENRY JR. SMITH (PA) – Physician Assistant, NPI 1003157660
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. RALPH HENRY JR. SMITH (PA)
22 RIVERSIDE LNDG
FORT MITCHELL, AL 368564429
Phone: (334) 855-2729
Type: Mailing
79 HOLDER ROAD
STEWART DETENTION CENTER
LUMPKIN, GA 31815
Phone: (229) 838-1246
Type: Location
HC 61 BOX 30
TEEC NOS POS, AZ 865149600
Phone: (928) 656-5000
Type: Mailing
US HWY 160 & NAVAJO ROUTE 35- RED MESA
TEECNOSPOS, AZ 86514
Phone: (928) 656-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161205001968 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 196 | 111 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 41 | $0 |
Insurance plans in this area (ZIP 36856)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | NM | |
| - | NM | |
| Family Practice | WA | |
| - | CA | |
| Internal Medicine | FL | |
| - | MD | |
| Pediatric Medicine, Internal Medicine | NM | |
| - | MD | |
| - | NM | |
| - | NM |
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