P Praxis·MD
● Active Type 1 · Individual

Kenneth L Smith, MD

Surgery·Columbus, GA· NPI 1457323909 · Enumerated 2006 · 20 years on NPI
Smith is 1 of 41 surgery providers in Columbus and 1 of 1389 in Georgia.
NPI age
20 years
Enumerated 2006-02-07
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-01-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1831 5th Ave
Columbus, GA 319048915
📞 7063208660fax 7063208664
Mailing address
Po Box 1038
Columbus, GA 319021038
📞 7066606148fax 7066602843

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #048722 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (GA) 000879029B MEDICAID-OFFICE
01 (AL) 154859 MEDICAID-MMC
01 (GA) 20046782 RAILROAD MEDICARE
01 (GA) 000879029D MEDICAID-MMC
05 (AL) 009931860
01 (GA) 52262489-003 BCBS
01 (GA) 52262489-005 BCBS
01 (AL) 600-11156 BCBS
01 (GA) 000879029C MEDICAID-DSH
05 (GA) 000879029A
01 (GA) 000879029E MEDICAID-NSMC
01 (AL) 600-96706 BCBS

Practice context

Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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