ALEXIS DEANA SMITH (MD) – Pediatric Surgery Physician, NPI 1093974974
Pediatric Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
147 GENERAL SURGERY in RI
Provider Addresses for ALEXIS DEANA SMITH (MD)
593 Eddy St
Providence, RI 029034923
Phone: (401) 444-8579
Type: Location
1439 Jesse Jewell Pkwy NE Ste 301
Gainesville, GA 305013806
Phone: (770) 219-9234
Type: Location
202 Conway Dr Ste 200
Kalispell, MT 599013153
Phone: (406) 758-7490
Fax: (406) 758-7080
Type: Location
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034923
Phone: (401) 444-8579
Type: Location
1120 15TH ST
AUGUSTA, GA 309123806
Phone: (706) 721-8623
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $430.
Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Teleflex LLC ($148).
Total Amount
$430
General + Research + Ownership
Payments
4
Total payment records
General Amount
$430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $148 |
| Aroa Biosurgery Incorporated | $144 |
| Smith+Nephew, Inc. | $139 |
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: 2025-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240104004856 | I | Pediatric Medicine | AZ | TBD |
| I20240130000149 | I | General Surgery | GA | TBD |
| I20251126003710 | I | Pediatric Medicine | MT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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