Individual provider Active NPI

Samantha Trupp, NP

  • Medical Oncology Physician
  • Atlanta, GA
National Provider Identifier
1306570734
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
RN231316 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone
(404) 255-1930
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X RN231316 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790

Mailing address

5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone (404) 255-1930

Other identifiers 1

IdentifierTypeStateIssuer
RN231316OtherGANP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Flatiron

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804000049 GA Practitioner - Nurse Practitioner 7618359860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blood & Marrow Transplant Group of Georgia Single Specialty CurrentSince Jul 11, 2022 Accepting new patients

Locations

5670 Peachtree Dunwoody Rd
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-1930

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.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1306570734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424790",
            "telephone_number": "404-255-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424790",
            "telephone_number": "404-255-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUPP",
        "first_name": "SAMANTHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "GA",
            "license": "RN231316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "RN231316",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Flatiron",
            "affiliation": "N",
            "address_1": "5670 Peachtree Dunwoody Rd Ste 1000",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303424790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.