Samatra L Phillips, MA, MAC, ICAADC, CPR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6800 Dahlonega Hwy
Cumming, GA 30028-5595

Phone

(404) 838-1271

NPI assigned

Jun 25, 2015

Last updated

Nov 26, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Samatra Sa Counseling, Education and Trainings

  dba Samatra Counseling, Education and Trainings

  • Substance Abuse Rehabilitation Facility
  • Conyers, GA
  • NPI 1154031672
  NPD (past) Authorized official

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1578945606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 OZMENT TRL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386208",
            "telephone_number": "404-838-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 DAHLONEGA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300285595",
            "telephone_number": "404-838-1271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4868 Ozment Trl",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300386208",
            "country_code": "US",
            "telephone_number": "404-838-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Iris Dr SW # 200D",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300946632",
            "country_code": "US",
            "telephone_number": "140-483-8127",
            "fax_number": "678-302-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SAMATRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA, MAC, ICAADC, CPR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Lee Phillips, PTA
• Constance Geneva Phillips
• Emily Bennett Phillips, MS OT R/L
• Kara Elizabeth Phillips, PHARMD
• Kelly Shadman Phillips, PA-C
• Cynthia Phillpott, LCSW
• Rachel Phipps
• Physician Management Services of Eastern Georgia, LLC
• Physician Pain and Wellness, P.C.
• Physician's Express Care at Creekstone

• Addiction (Substance Use Disorder) Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.