Samantha Lee Chaparro, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12943 Issued in GA

Practice address

1121 Johnson Ferry Rd Ste 310
Marietta, GA 30068-5420

Phone

(770) 675-9521

NPI assigned

Apr 8, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ageless Mens Health

  • Medical Physician Assistant
  • Atlanta, GA
  • NPI 1518281864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1003600651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685420",
            "telephone_number": "770-675-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685420",
            "telephone_number": "770-675-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPARRO",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "12943",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Elizabeth Chandler, DMD
• Laurie A Chandler, LAPC
• Bryan Chang, MD
• Steven Chang, DC
• Changing Phases Behavioral Support, Inc
• Kevin Chapla, M.D.
• Maurice Harold Chapman III
• Rodger W Chapman, MD
• Mary Lanham Chappell, M.D.
• Lauren Chappuis

• Medical Physician Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.