Samantha Reis

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN255532 Issued in GA

Practice address

41 Perimeter Ctr E Ste 640
Dunwoody, GA 30346-1903

Phone

(770) 871-3730

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Veritas Collaborative Atlanta, LLC Dba the Emily Program

  • Multi-Specialty Clinic/Center
  • Dunwoody, GA
  • NPI 1609386614
  NPD
• Veritas Collaborative Georgia, LLC

  dba The Emily Program

  • Psychiatric Hospital
  • Dunwoody, GA
  • NPI 1487197026
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1467169623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13289",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277093289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PERIMETER CTR E STE 640",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461903",
            "telephone_number": "770-871-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN255532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Olinto Reagin, D.M.D
• Todd Alan Reagin, D.M.D.
• Red Door Home Care LLC
• Ashley Nicole Reed, MFT
• Caitlin Reed, PT, DPT
• Brian Reising, D.D.S., M.S.
• Arthur Gerald Reisman, MD
• Lisa Reisman, C.P.N.P.
• Resilient Roots Therapy Center, LLC
• Restoplus LLC

• Pediatric Nurse Practitioner in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.