Active NPI
Michael A Samotowka, MD
- Surgical Critical Care Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 074898
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000038806 | Other | AL | ALABAMA MEDICAID |
| 1479764 | Other | LA | MEDICAID OF LOUISIANA |
| 074898 | Other | GA | MEDICAL LICENSE |
| 051038806 | Other | AL | BCBS |
| 3092225 | Other | TN | TENNCARE |
| 4045899 | Other | TN | TENNESSEE MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA, FL, NC, ND, OR, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- 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 Inc
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
- Ecu Health Medical Center
- Altru Hospital
- Bay Area Hospital
- Sacred Heart Medical Center - Riverbend
- The Outer Banks Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-02813 | NC | MD | Surgery Physician |
| MD227334 | OR | MD | Surgical Critical Care Physician |
| 14840 | WI | MD | Surgical Critical Care Physician |
| 00021026 | AL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| East Carolina University | Surgery | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Altru Health System | Surgery | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Surgery | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Surgical Specialists of Charlotte, P.a. | Surgery | Current | Accepting new patients |
| Peacehealth | Surgery | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Surgery | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Phoebe Primary Care | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | 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
- msamotowka836325@direct.peacehealth.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- msamotowka813191@direct.shands.ufl.edu
- 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.
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.