ALLYSON SMITH (PA) – Medical Physician Assistant, NPI 1619921640

ALLYSON SMITH (PA) is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 103814 (NC). The NPI Number for ALLYSON SMITH (PA) is 1619921640

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ALLYSON SMITH (PA)
NPI
1619921640
Phone
(770) 962-4895
Address
631 PROFESSIONAL DR
Enumeration Date
22 May 2006
Last Update Date
24 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783894147
Graduation Year
2003 (23 years ago)
PAC ID
2769458215
Group Practice PAC ID
4880003771
Professional Enrollment ID
I20081103000334
Address ID
GA300171760GR1132XHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for ALLYSON SMITH (PA)

  • 631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 360

    LAWRENCEVILLE, GA 300463367

    Phone: (770) 962-4895

    Fax: (770) 962-4508

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $494.

Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Amgen Inc. ($159).

Total Amount

$494

General + Research + Ownership

Payments

14

Total payment records

General Amount

$494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2008-11-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081103000334IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes303162$0
99239Hospital discharge day management, more than 30 minutes110104$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5251$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician3535$0
99285Emergency department visit with high level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880003771View full group profile
NameSpecialtyState
Physician AssistantGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerGA
Interventional CardiologyGA
Physician AssistantGA
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)MI
Cardiovascular Disease (Cardiology)OH
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyGA
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Can I cross-check ALLYSON SMITH (PA) using NPI 1619921640?
NPI 1619921640 belongs to ALLYSON SMITH (PA); compare other details if you need extra assurance.
Is ALLYSON SMITH (PA) shown as active in public data?
Registry records indicate ALLYSON SMITH (PA) maintains an active NPI.
What kind of doctor is ALLYSON SMITH (PA)?
ALLYSON SMITH (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALLYSON SMITH (PA)?
Travel planning: use Lawrenceville, Georgia as the reference point for ALLYSON SMITH (PA), then confirm.
Does ALLYSON SMITH (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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