DPS Health and Wellness

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DPS HEALTH AND WELLNESS

Practice address

19 Coach Lee Hill Blvd
Statesboro, GA 30458-4700

Phone

(912) 662-6501

Fax

(912) 681-1012

NPI assigned

Sep 9, 2015

Last updated

Sep 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Samuels, DONPI 1942333158

Title

Owner

Phone

(912) 662-6501

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Samuels, DO

  • Psychiatry Physician
  • Statesboro, GA
  • NPI 1942333158
  Authorized official Same address or phone

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1073981999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COACH LEE HILL BOULEVARD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582119",
            "telephone_number": "912-662-6501",
            "fax_number": "912-681-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COACH LEE HILL BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584700",
            "telephone_number": "912-662-6501",
            "fax_number": "912-681-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 W Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063469",
            "country_code": "US",
            "telephone_number": "912-662-6501",
            "fax_number": "912-681-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DPS HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-662-6501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003169430A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dpshealthandwellness.com",
            "affiliation": "N",
            "address_1": "19 Lester Rd",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304582119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatry Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.