Individual provider Active NPI

Gihan S Abdel-Samed, MD

  • Emergency Medicine Physician
  • Milton, GA
National Provider Identifier
1306884754
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45376 Issued in GA
Practice address
12635 Crabapple Rd Ste 140
Milton, GA 30004-5801
Phone
(404) 556-3640
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD063018L PA
Emergency Medicine Physician 207P00000X 45376 GA Primary

Addresses

Primary practice location

12635 Crabapple Rd Ste 140
Milton, GA 30004-5801

Mailing address

4210 Pineset Dr
Alpharetta, GA 30022-6511
Phone (404) 556-3640

Other practice location 1

200 Industrial Boulevard
Box 1408
Dublin, GA 31040-1408
Phone (478) 274-3134

Other identifiers 1

IdentifierTypeStateIssuer
000799598LMedicaidGA

Other names 1

  • Gigi Samed Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051114000062 GA Practitioner - Emergency Medicine 0042239626 Reassigns benefits to 1 organization
I20151204000520 CA Practitioner - Emergency Medicine 0042239626 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shine MMG IncGroup PAC ID 6103257282, 25 clinicians
Northside Emergency Associates, P.C.Group PAC ID 9335135144, 41 clinicians

Practice addresses (Care Compare)

130 N Brand Blvd
Suite 204
Glendale, CA 91203-2617
Phone (818) 745-0070

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

Hospital & facility affiliations

  • Laglen Home Inc. Home health agency, Burbank, CA, CCN 757164
  • DV Quality Home Health Care, Inc. Home health agency, North Hollywood, CA, CCN 757476
  • Angel Wings Home Health Agency Home health agency, Los Angeles, CA, CCN 757633
  • Optimum Ma Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 553189
  • Wellness Healthcare, Inc Home health agency, N Hollywood, CA, CCN 559576
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135047CAMDMarriage & Family Therapist
45376GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Jun 12, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 23, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Jun 12, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 23, 2019 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Shine MMG Inc CurrentSince Apr 5, 2023 Accepting new patients
Northside Emergency Associates, LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Athens-Clarke Emergency Specialists Emergency Medicine Past Accepting new patients
Liberty Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

130 N Brand Blvd
Ste 204
Glendale, CA 91203
Phone (818) 570-9065

450 N Brand Blvd
Ste 625A
Glendale, CA 91203
Phone (818) 745-0070

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100

14550 Soledad Canyon Rd
#100
Santa Clarita, CA 91387
Phone (661) 488-7402

13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: gabdelsamed1271260@direct.uclahealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1306884754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 PINESET DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226511",
            "telephone_number": "404-556-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 CRABAPPLE RD STE 140",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045801",
            "telephone_number": "404-556-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Industrial Boulevard",
            "address_2": "Box 1408",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310401408",
            "country_code": "US",
            "telephone_number": "478-274-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDEL-SAMED",
        "first_name": "GIHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "MD063018L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "45376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000799598L",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GIGI",
            "last_name": "SAMED",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milton, GA

Sources for this page

Verify at the official NPI Registry.