Individual provider Active NPI

Samantha Patrice Day, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1649646431
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP162261 Issued in GA
Practice address
10090 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-4428
Phone
(470) 482-6508
Fax
(770) 476-9750
NPI assigned
Aug 14, 2015
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP162261 GA Primary
Registered Nurse 163W00000X RN162261 GA

Addresses

Primary practice location

10090 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-4428

Mailing address

10090 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-4428
Phone (470) 482-6508

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
I20161024000142 GA Practitioner - Nurse Practitioner 6800174020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

10090 Medlock Bridge Rd
Suite 110
Johns Creek, GA 30097-4428
Phone (470) 482-6508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP162261GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Jan 9, 2023 Accepting new patients
Personal Recovery Network LLC PastSince Jan 9, 2023 Accepting new patients

Locations

10090 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (470) 482-6508

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.samanthaday@124220.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1649646431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MEDLOCK BRIDGE RD STE 110",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974428",
            "telephone_number": "470-482-6508",
            "fax_number": "770-476-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MEDLOCK BRIDGE RD STE 110",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974428",
            "telephone_number": "470-482-6508",
            "fax_number": "770-476-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "SAMANTHA",
        "middle_name": "PATRICE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP162261",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN162261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.