Active NPI
Samantha Jo Dombrowski, NURSE PRACTITIONER
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN339878
- Practice address
- 95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721 - Phone
- (404) 605-6517
- NPI assigned
- Jul 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F341904-1 | NY | |
| Nurse Practitioner | 363L00000X | RN339878 | GA | Primary |
Addresses
Primary practice location
95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721
Mailing address
36 W Home Rd
Bowmansville, NY 14026-1003
Other practice location 1
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266
Hospital & facility affiliations
- Kaleida Health
- Piedmont Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN339878 | GA | MD | Nurse Practitioner |
| F341904-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
95 Collier Rd NW
Ste 5015
Atlanta, GA 30309
Phone (404) 605-5699
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
100 High St
#B2
Buffalo, NY 14203
Phone (716) 859-1256
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1578084307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 W HOME RD",
"city": "BOWMANSVILLE",
"state": "NY",
"postal_code": "140261003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COLLIER RD NW STE 5015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091721",
"telephone_number": "404-605-6517"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-01",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F341904-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN339878",
"primary": true
}
],
"identifiers": [],
"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 Oct 21, 2025; 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.