Individual provider Active NPI

Samantha Nicole Werkheiser, PA-C

  • Physician Assistant
  • Smyrna, GA
National Provider Identifier
1437893278
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11029 Issued in GA
Practice address
4298 Atlanta Rd SE Ste 300
Smyrna, GA 30080-6433
Phone
(770) 429-9100
Fax
(770) 429-1391
NPI assigned
Apr 27, 2022
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11029 GA Primary
Urology Physician 208800000X 0000000 GA

Addresses

Primary practice location

4298 Atlanta Rd SE Ste 300
Smyrna, GA 30080-6433

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001129 GA Practitioner - Physician Assistant 4789063835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

100 Liberty Blvd
Canton, GA 30114-2852
Phone (678) 593-1043

145 Riverstone Ter
Suite 101
Canton, GA 30114-5327
Phone (770) 720-7246

4298 Atlanta Rd SE
Smyrna, GA 30080-6433

4450 Calibre Xing NW
Acworth, GA 30101-4103
Phone (770) 607-1893

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029GAMDCounselor
0000000GAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology, PA CurrentSince Jun 27, 2022 Accepting new patients
Georgia Urology PA Urology CurrentSince Jun 27, 2022 Accepting new patients

Locations

790 Church St NE
Ste 430
Marietta, GA 30060
Phone (770) 429-9100

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

4298 Atlanta Rd SE
Ste 300
Smyrna, GA 30080
Phone (770) 429-9100

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: samantha.wells.p1@direct.gupa.nextgenshare.com

Organizations & group practices 5

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 1

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1437893278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4298 ATLANTA RD SE STE 300",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806433",
            "telephone_number": "770-429-9100",
            "fax_number": "770-429-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERKHEISER",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11029",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "0000000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.