Samuel Abdias Louissaint

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN311141 Issued in GA

Practice address

821 Pavilion CT Ste a
McDonough, GA 30253-6790

Phone

(770) 321-1773

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists of Massachusetts PLLCGroup PAC ID 0244640498, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Care at Holyoke Nursing home, Holyoke, MA, CCN 225480

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Post Acute Specialists of Massachusetts PLLC

  • Internal Medicine Physician
  • Taunton, MA
  • NPI 1104438480
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, MA

  Medicare reassignment NPD
• SNS Health and Wellness Center

  • Physiological Laboratory
  • McDonough, GA
  • NPI 1154142487
  NPD Authorized official

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

• Holyoke Care Center, LLC

  • Skilled Nursing Facility
  • Holyoke, MA
  • NPI 1255945325

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1225600745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PAULOWNIA CIR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533092",
            "telephone_number": "857-236-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PAVILION CT STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536790",
            "telephone_number": "770-321-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUISSAINT",
        "first_name": "SAMUEL",
        "middle_name": "ABDIAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2324549",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN311141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Halbert Lockhart
• Anne Marie Meyers Logan, RPH
• Lutricia Alzora Logan
• Long Life Care Management LLC
• Shane Maree' Loudermilk, M.S, NCC, APC
• Hassan Yaser Loutfi, DO
• Love Noel Cranial Prosthetic
• Loving Hearts Homecare and Nurse Advocate Services,LLC
• Courtney Lowe
• Jessica Lundi

• Gerontology Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.

Verify at the official NPI Registry.