Shanon Dail Smith, MD
NPI 1174664163ActiveIndividual· Radiology, Diagnostic Radiology· Hastings, NE
Radiology, Diagnostic Radiology (MD) in Hastings, Nebraska, trained at Medical College of Georgia School of Medicine (class of 1992). Medicare paid $369,425 for services to 3,673 patients in 2024.
Overview
| NPI | 1174664163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2007 |
| Last updated in NPPES | Mar 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 25167 | NE |
| Internal Medicine | 207R00000X | 22687 | AL |
| Radiology, Diagnostic Radiology | 2085R0202X | 054513 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GA); Practitioner - Diagnostic Radiology (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,673 |
|---|---|
| Services billed | 42,304 across 150 procedure codes |
| Paid by Medicare | $369,425 |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Gwinnett Clinic, LtdLawrenceville, GA · 47 clinicians
- South Georgia Radiology Associates LLCBaxley, GA · 33 clinicians
- Sterling Radiology LLCMoultrie, GA · 21 clinicians
- Outpatient Imaging, LLCPeachtree Cty, GA · 20 clinicians
- Georgia West Imaging PCWarm Springs, GA · 6 clinicians
Hospital affiliations
- Bacon County HospitalAlma, GA
- Dodge County HospitalEastman, GA
- Tift Regional Medical CenterTifton, GA
- Union General HospitalBlairsville, GA
- Wayne Memorial HospitalJesup, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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