Individual provider Active NPI

Samantha R Meeks, NP

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1508870460
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN235429 Issued in GA
Practice address
17 Professional Dr Ste 100
Brunswick, GA 31520-3784
Phone
(912) 574-5838
Fax
(912) 574-5819
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN235429 GA Primary
Adult Health Nurse Practitioner 363LA2200X 71000462 IN

Addresses

Primary practice location

17 Professional Dr Ste 100
Brunswick, GA 31520-3784

Mailing address

17 Professional Dr Ste 100
Brunswick, GA 31520-3784
Phone (912) 574-5819

Other identifiers 3

IdentifierTypeStateIssuer
200429290MedicaidIN
20250I7380OtherGAMEDICARE
003143270AMedicaidGA

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
I20140421001705 GA Practitioner - Nurse Practitioner 0345231536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samantha Meeks Family Practice LLCGroup PAC ID 0446681381, 2 clinicians

Practice addresses (Care Compare)

17 Professional Dr
Suite 100
Brunswick, GA 31520-3784
Phone (912) 574-5838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000462INMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Mar 3, 2014 Accepting new patients
Samantha Meeks Family Practice, LLC CurrentSince Mar 29, 2020 Accepting new patients
Samantha Meeks Family Practice Past Accepting new patients
Henry County Urgent Care LLC Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3300 4th St
Brunswick, GA 31520
Phone (912) 267-0884

17 Professional Dr
Ste 100
Brunswick, GA 31520
Phone (912) 275-7346

Interoperability endpoints

  • Direct secure messaging: samantha.meeks.1@20329.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20329/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1508870460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PROFESSIONAL DR STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203784",
            "telephone_number": "912-574-5819",
            "fax_number": "556-088-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROFESSIONAL DR STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203784",
            "telephone_number": "912-574-5838",
            "fax_number": "912-574-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN235429",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200429290",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20250I7380",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003143270A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.