Individual provider Active NPI

Samantha Austin, APRN

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Griffin, GA
National Provider Identifier
1750169967
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
RN274958 Issued in GA
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

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7517997141, 6 clinicians

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

LicenseStateTypeSpecialty
RN274958GAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brightmoor Hospice, LLC Hospice and Palliative Medicine CurrentSince Jan 28, 2024 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.

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

Verify at the official NPI Registry.