Individual provider Active NPI

Michael A Samotowka, MD

  • Surgical Critical Care Physician
  • Atlanta, GA
National Provider Identifier
1437124021
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
074898 Issued in GA
Practice address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone
(404) 851-8000
Fax
(404) 303-3759
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 074898 GA Primary
Surgical Critical Care Physician 2086S0102X 14840 WI
Surgery Physician 208600000X 2023-02813 NC
Surgical Critical Care Physician 2086S0102X 192458 NY
Surgical Critical Care Physician 2086S0102X MD227334 OR
Trauma Surgery Physician 2086S0127X 00021026 AL
Surgical Critical Care Physician 2086S0102X 00021026 AL

Addresses

Primary practice location

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Mailing address

PO Box 1038
Columbus, GA 31902-1038
Phone (706) 649-6600

Other practice location 1

300 N Graham St Ste 125
Portland, OR 97227-1683
Phone (503) 413-3714

Other practice location 2

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 6

IdentifierTypeStateIssuer
000038806OtherALALABAMA MEDICAID
1479764OtherLAMEDICAID OF LOUISIANA
074898OtherGAMEDICAL LICENSE
051038806OtherALBCBS
3092225OtherTNTENNCARE
4045899OtherTNTENNESSEE MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL, NC, ND, OR, WI7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20120525000456 AL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1759406382 Reassigns benefits to 1 organization
Practice locations: Albany, GA
I20151229001823 GA Practitioner - General SurgeryPractitioner - Other (Physician) 1759406382 Reassigns benefits to 1 organization
I20180215000051 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 1759406382 Reassigns benefits to 2 organizations
I20240510000926 NC Practitioner - General Surgery 1759406382 Reassigns benefits to 2 organizations
I20251006002877 ND Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1759406382 Reassigns benefits to 1 organization
I20251217001614 OR Practitioner - General Surgery 1759406382 Reassigns benefits to 3 organizations
I20260317002144 WI Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 1759406382 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians
PeacehealthGroup PAC ID 8527016039, 200 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 209-3000

3355 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-02813NCMDSurgery Physician
MD227334ORMDSurgical Critical Care Physician
14840WIMDSurgical Critical Care Physician
00021026ALMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 20, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 20, 2026 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Bay Area Hospital District CurrentSince Feb 23, 2026 Accepting new patients
East Carolina University Surgery CurrentSince Jan 1, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 20, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 20, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 20, 2026 Accepting new patients
Altru Health System Surgery Current Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 20, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Surgery Current Accepting new patients
Altru Health System CurrentSince Aug 18, 2025 Accepting new patients
Altru Health System CurrentSince Aug 18, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2016 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 4, 2025 Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Dec 20, 2023 Accepting new patients
Peacehealth Surgery CurrentSince Nov 20, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 20, 2026 Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Mar 20, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 20, 2026 Accepting new patients
Bay Area Hospital District CurrentSince Feb 23, 2026 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jul 28, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 20, 2026 Accepting new patients
Phoebe Primary Care CurrentSince Jan 1, 2016 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jul 28, 2025 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Albany, GA 31701
Phone (229) 312-7001

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

300 N Graham St
Ste 125
Portland, OR 97227
Phone (503) 413-3714

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333

3355 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-2720

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: msamotowka836325@direct.peacehealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: msamotowka813191@direct.shands.ufl.edu
  • Direct secure messaging: michael.samotowka@hca5.eclinicaldirectplus.com

Organizations & group practices 28

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.

View all 28

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1437124021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021038",
            "telephone_number": "706-649-6600",
            "fax_number": "706-649-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Graham St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271683",
            "country_code": "US",
            "telephone_number": "503-413-3714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMOTOWKA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "074898",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WI",
            "license": "14840",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2023-02813",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "192458",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OR",
            "license": "MD227334",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AL",
            "license": "00021026",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AL",
            "license": "00021026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAID",
            "identifier": "000038806",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF LOUISIANA",
            "identifier": "1479764",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "074898",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051038806",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "3092225",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE MEDICAID",
            "identifier": "4045899",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.