NPIMap

Individual provider Active NPI

Samuel George Franklin, M.D

  • Internal Medicine Physician
  • Louisville, GA
National Provider Identifier
1245590793
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
077737 Issued in GA
Practice address
1067 Peachtree St
Louisville, GA 30434-1599
Phone
(478) 625-7000
NPI assigned
May 17, 2012
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL36972 SC
Internal Medicine Physician 207R00000X 077737 GA Primary

Addresses

Primary practice location

1067 Peachtree St
Louisville, GA 30434-1599

Mailing address

1067 Peachtree St
Louisville, GA 30434-1599
Phone (478) 625-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023002401 GA Practitioner - Internal Medicine 4688893985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1067 Peachtree St
Louisville, GA 30434-1558
Phone (478) 625-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
077737GAMDInternal Medicine Physician
LL36972SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Jefferson County and the City of Louisville CurrentSince Sep 1, 2017 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Wadley SNF Operator LLC Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Pruitthealth - Old Capitol, LLC Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Locations

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

1067 Peachtree St
#104
Louisville, GA 30434
Phone (912) 625-7000

400 Canterbury Dr
Wrens, GA 30833
Phone (478) 625-7000

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1245590793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 PEACHTREE ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341599",
            "telephone_number": "478-625-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 PEACHTREE ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341599",
            "telephone_number": "478-625-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "SAMUEL",
        "middle_name": "GEORGE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL36972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "077737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, GA

Sources for this page

Verify at the official NPI Registry.