Active NPI
Samantha Austin, APRN
- Hospice and Palliative Medicine (Family Medicine) Physician
- Griffin, GA
National Provider Identifier
1750169967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- RN274958
- Practice address
- 3247 Newnan Rd
Griffin, GA 30223-7114 - Phone
- (770) 467-9930
- NPI assigned
- Sep 19, 2023
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | RN274958 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN274958 | GA |
Addresses
Primary practice location
3247 Newnan Rd
Griffin, GA 30223-7114
Mailing address
3247 Newnan Rd
Griffin, GA 30223-7114
Phone (770) 467-9930
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240419002015 | GA | Practitioner - Nurse Practitioner | 8729427950 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Brightmoor Hospice LLC
Practice addresses (Care Compare)
3247 Newnan Rd
Griffin, GA 30223-7114
Phone (770) 467-9930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN274958 | GA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightmoor Hospice, LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
Locations
3247 Newnan Rd
Griffin, GA 30223
Phone (770) 467-9930
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Griffin, GA
- NPI 1275520751
GA, Hospice and Palliative Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1750169967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3247 NEWNAN RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302237114",
"telephone_number": "770-467-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3247 NEWNAN RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302237114",
"telephone_number": "770-467-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "SAMANTHA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "GA",
"license": "RN274958",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN274958",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.