Organization Active NPI

Samar Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1356099014
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAMAR HEALTHCARE
Practice address
1122 Cambridge SQ Ste D
Alpharetta, GA 30009-1858
Phone
(678) 904-2450
Fax
(678) 904-2320
NPI assigned
Mar 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Authorized official

Name
Mrs. Mary W Muranja, PMHNP-BC, NP-C
Title
NP
Phone
(770) 827-5291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1122 Cambridge SQ Ste D
Alpharetta, GA 30009-1858

Mailing address

PO Box 801351
Acworth, GA 30101-1215
Phone (770) 827-5291

Other identifiers 1

IdentifierTypeStateIssuer
1407210156OtherGANPI

Other names 1

  • Samar Healthcare Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.muranja@samarhealthcare.com

National Provider Directory

National Provider Directory

Locations

1122 Cambridge Sq
Ste D
Alpharetta, GA 30009
Phone (678) 904-2450

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1356099014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801351",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301011215",
            "telephone_number": "770-827-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CAMBRIDGE SQ STE D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091858",
            "telephone_number": "678-904-2450",
            "fax_number": "678-904-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "MURANJA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "770-827-5291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407210156",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.muranja@samarhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "1122 Cambridge Sq Ste D",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300091858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Samar Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.