Angella Samuels, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN133706 Issued in GA

Practice address

2795 Main St W BLDG 21
New Horizons Family Clinic
Snellville, GA 30078-3164

Phone

(770) 248-1637

Fax

(770) 248-1638

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Blackpool LLCGroup PAC ID 2163667643, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.17 of 100Reported as group

Quality

99.39

Promoting interoperability

100

Improvement activities

40

Cost

51.17

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blackpool LLC

  dba Georgia Medical Clinic

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1124361811
  Medicare reassignment Care Compare group NPD
• New Horizons Family Clinic

  dba Faith Healthcare Services, Inc.

  • Health Service Clinic/Center
  • Snellville, GA
  • NPI 1811143589

  Nurse Practitioner

  Medicare reassignment NPD Authorized official
• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  Medicare reassignment NPD
• Pai Participant 11 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Griffin, GA
  • NPI 1144887720
  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Eastern Atlanta Behavioral Health LLC

  • Psychiatry Physician
  • Watkinsville, GA
  • NPI 1326386780
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043406069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W BLDG 21",
            "address_2": "NEW HORIZONS FAMILY CLINIC",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783164",
            "telephone_number": "770-248-1637",
            "fax_number": "770-248-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W BLDG 21",
            "address_2": "NEW HORIZONS FAMILY CLINIC",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783164",
            "telephone_number": "770-248-1637",
            "fax_number": "770-248-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "ANGELLA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN133706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844105153A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lanee' Sambou, LPC
• Kimberly Melissa Sampson
• Kymberly Angelina McPherson Sampson, LCSW
• Sams East Inc (Sams Pharmacy 10-4739)
• Tseday Samuel, ACNP-C
• Sabrina Samuels
• Geoffrey Alen Sandels Jr., D.C.
• Tyiesha Sanders
• Alvin Sanderson III, NP
• Bhakti Sanghani, DO

• Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.