Samantha Joi Tait, DNP, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN308453 Issued in GA

Practice address

4152 Baker St NE
Covington, GA 30014-1404

Phone

(770) 788-1077

NPI assigned

Jul 2, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lisa D Miller MD Pediatrics PC

  • Pediatrics Physician
  • Covington, GA
  • NPI 1659352185
  NPD (past)

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1093604985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 SPRINGWOOD DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558395",
            "telephone_number": "419-308-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141404",
            "telephone_number": "770-788-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "SAMANTHA",
        "middle_name": "JOI",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN308453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Chaffin Swales, MS, ATC, LAT
• Vijaya Swamy, M.D.
• Sweet Serenity Personal Care Home LLC
• Synergize2Energize,LLC
• T4TS Transport
• Jane Soon-Yuen Tan, M.D.
• Frank Tanner, SA-C, CSFA
• Ankra Tanyi, RPH
• Maryam Tarar, DO
• Jody S. Tarleton, PSY., LPC

• Pediatric Nurse Practitioner in Covington, GA
• Providers in Covington, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.