Active NPI
Samantha Deane Hartman, MS
- Counselor
- Johns Creek, GA
National Provider Identifier
1053947697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- APC00702
- Practice address
- 10700 State Bridge Rd Ste 6
Johns Creek, GA 30022-7491 - Phone
- (770) 802-8019
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC00702 | GA | Primary |
Addresses
Primary practice location
10700 State Bridge Rd Ste 6
Johns Creek, GA 30022-7491
Mailing address
112 Hampton Dr
Sandy Springs, GA 30350-3901
Phone (478) 919-8293
Other practice location 1
2850 Johnson Ferry Rd Ste 250
Marietta, GA 30062-8317
Phone (478) 919-8293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC00702 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1053947697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HAMPTON DR",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303503901",
"telephone_number": "478-919-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 STATE BRIDGE RD STE 6",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300227491",
"telephone_number": "770-802-8019"
}
],
"practiceLocations": [
{
"address_1": "2850 Johnson Ferry Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300628317",
"country_code": "US",
"telephone_number": "478-919-8293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTMAN",
"first_name": "SAMANTHA",
"middle_name": "DEANE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC00702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.