Well Life With Sam, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

WELL LIFE WITH SAM, LLC

Practice address

7935 Heron Way
King George, VA 22485-7391

Phone

(217) 202-5701

NPI assigned

Mar 4, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Cogil, NP

Title

Nurse Practitioner/ Owner

Phone

(217) 202-5701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1013715366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 PLANK RD # 1072",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015103",
            "telephone_number": "217-202-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 HERON WAY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224857391",
            "telephone_number": "217-202-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE WITH SAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "COGIL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "217-202-5701",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in King George, VA
• Providers in King George, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.