Individual provider Active NPI

Samson Adewale, MD

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1346731635
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92679 Issued in GA
Practice address
2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612
Phone
(404) 644-3747
NPI assigned
May 23, 2018
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 92679 GA
Emergency Medicine Physician 207P00000X 33902 OK
Emergency Medicine Physician 207P00000X MD.43245 AL
Family Medicine Physician 207Q00000X MD.43245 AL
Family Medicine Physician 207Q00000X 33902 OK
Family Medicine Physician 207Q00000X 92679 GA Primary

Addresses

Primary practice location

2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612

Mailing address

257 Lawrence St NE Unit 571
Marietta, GA 30061-2309
Phone (404) 644-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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
I20211026000296 AL Practitioner - Emergency Medicine 3870981723 Reassigns benefits to 3 organizations
I20220824003079 GA Practitioner - Emergency MedicinePractitioner - Family Practice 3870981723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, shared by 2 NPIs, 645 clinicians
Independence Emergency Physicians LLCGroup PAC ID 2264484971, 10 clinicians
Hightower Emergency Group PCGroup PAC ID 3577825751, 29 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132

200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (770) 537-5851

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.43245ALMDEmergency Medicine Physician
33902OKMDEmergency Medicine Physician
92679GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Independence Emergency Physicians LLC Emergency Medicine CurrentSince Jul 28, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2022 Accepting new patients
Hightower Emergency Group, PC Emergency Medicine CurrentSince Dec 17, 2025 Accepting new patients
Seasons Care Hospice LLC Family Medicine PastSince Jun 4, 2025 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Nov 20, 2022 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

1170 Cleveland Ave
Ste 100
East Point, GA 30344

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: sadewale2992907@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: samson.adewale.1@27988.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seasons Care Hospice LLCConyers, GA, CCN 851605 Hospice Contracted Managing Employee (100%) Jun 4, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1346731635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LAWRENCE ST NE UNIT 571",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300612309",
            "telephone_number": "404-644-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 LAWRENCEVILLE SUWANEE RD STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242612",
            "telephone_number": "404-644-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWALE",
        "first_name": "SAMSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "92679",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "33902",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.43245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.43245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "33902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "92679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.