Samantha Banks, MSN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP251148 Issued in GA

Practice address

1240 Sigman Rd NW Ste 103
Conyers, GA 30012-3934

Phone

(404) 857-4788

NPI assigned

Mar 11, 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

Credentials

Master of Science - Nursing

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 and National Provider Directory roles.

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  • NPI 1871430546
  NPD Authorized official
• Gruv Wellness Clinic

  • Primary Care Nurse Practitioner
  • Conyers, GA
  • NPI 1700743069
  NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1275332371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SIGMAN RD NW STE 103",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123934",
            "telephone_number": "404-857-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SIGMAN RD NW STE 103",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123934",
            "telephone_number": "404-857-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "SAMANTHA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP251148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique T Bailey
• Nathalie G Bailey, NP-C
• Ora Jessica Bailey, PHARMD
• Amit Singh Bajwa, DDS
• R. Wayne Baker, OD
• Stephanie Baptiste, PHARMD
• Shamora Barnard
• Samuel Mario Barros
• Ashlyn Faith Bartello, PA-C
• Charles Bartholomew, PH.D.

• Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.