Active NPI
Samuel E. Palmer, M.D.
- Family Medicine Physician
- Bonaire, GA
National Provider Identifier
1083663348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 029061
- Practice address
- 106 Moran Drive
Bonaire, GA 31005 - Phone
- (478) 988-1282
- Fax
- (478) 988-3120
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 029061 | GA | Primary |
Addresses
Primary practice location
106 Moran Drive
Bonaire, GA 31005
Mailing address
106 Moran Drive
Bonaire, GA 31005
Phone (478) 988-1282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000374382K | Medicaid | GA | |
| 00374382I OR E | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Moran Dr
Bonaire, GA 31005-5106
Phone (478) 988-1282
Hospital & facility affiliations
- Amedisys Home Health of Macon
- Enhabit Home Health
- Emory Houston Hospital Warner Robins
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029061 | GA | MD | Family Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBJCBD/Endpoint/BBJCBD
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Bonaire, GA
- NPI 1376555300
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Macon, GA
- NPI 1356399018
-
- Home Health Agency
- Macon, GA
- NPI 1972762599
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1083663348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MORAN DRIVE",
"city": "BONAIRE",
"state": "GA",
"postal_code": "31005",
"telephone_number": "478-988-1282",
"fax_number": "478-988-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MORAN DRIVE",
"city": "BONAIRE",
"state": "GA",
"postal_code": "31005",
"telephone_number": "478-988-1282",
"fax_number": "478-988-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "SAMUEL",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "029061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000374382K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00374382I OR E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonaire, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.