Samantha Liane Grant, MBBS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

100669 Issued in GA

Practice address

900 Towne Lake Pkwy Ste 210
Woodstock, GA 30189-1603

Phone

(770) 592-2300

Fax

(770) 592-2040

NPI assigned

Mar 26, 2020

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perimeter Professional Services, LLCGroup PAC ID 9032337423, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Perimeter Professional Services, LLC

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235543620
  Medicare reassignment Care Compare group NPD
• Perimeter North Family Practice LLC

  dba Perimeter North Family Medicine, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1295936318
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  dba Northside Hospital Cherokee

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1437786548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY STE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY STE 210",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891603",
            "telephone_number": "770-592-2300",
            "fax_number": "770-592-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SAMANTHA",
        "middle_name": "LIANE",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "100669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Pediatrics of Woodstock LLC
• Fitzroy Henry Graham, MD
• Rachel Graham, NTP
• Rebecca Crawford Graham, MA, LPC, CACII
• Grainne Transportation LLC
• Angela M Graves
• Kimber Gray, M.ED. CCC-SLP
• Theresa Gray, LMSW
• Brody Mitchell Green, LPTA
• Lana Danielle Greene, MA, LPC, NCC

• Family Medicine Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.