Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greg D Smith, APNP

Individual provider Gerontology Nurse Practitioner · NPI 1194255950

Greg D Smith, APNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
9
Licensed in
OR, WI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

555 Black Oak Dr
Medford, OR 97504
Phone: (541) 789-8176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 Black Oak Dr, Medford, OR 97504 — (541) 789-8176

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201902885NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 7702-33 (WI)

Record details

NPI number1194255950
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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