Individual provider Active NPI

Samantha Wisner Valentini, RN

  • Certified Registered Nurse Anesthetist
  • Decatur, GA
National Provider Identifier
1043755853
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN213713 Issued in GA
Practice address
2551 Wilson Woods Dr
Decatur, GA 30033
Phone
(770) 757-0131
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN213713 GA Primary
Registered Nurse 163W00000X RN213713 GA

Addresses

Primary practice location

2551 Wilson Woods Dr
Decatur, GA 30033

Mailing address

108 Amelia Forest LN
Columbia, SC 29209-1759
Phone (770) 757-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728001317 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709156482 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Anesthesiology of AthensGroup PAC ID 1456246230, 79 clinicians
Mulkey Anesthesiology Associates, PCGroup PAC ID 6406035583, 22 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449

3870 Medical Park Dr
Austell, GA 30106-1110
Phone (770) 948-6824

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN213713GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Jul 1, 2017 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Apr 13, 2022 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Medical Center Anesthesiology of Athens CurrentSince Jan 15, 2024 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Mulkey Anesthesiology Associates LLC Current Accepting new patients
Ispm ASC at Piedmont, LLC CurrentSince Apr 13, 2022 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1269 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-0505

7229 Wheat St NE
Covington, GA 30014
Phone (678) 625-5132

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1043755853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 AMELIA FOREST LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091759",
            "telephone_number": "770-757-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 WILSON WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "770-757-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINI",
        "first_name": "SAMANTHA",
        "middle_name": "WISNER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN213713",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN213713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.