Samraj Medical Clinic, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

046322 Issued in GA

Legal business name

SAMRAJ MEDICAL CLINIC, P.C.

Practice address

2000 12TH Ave
Columbus, GA 31901-1638

Phone

(706) 653-2226

Fax

(706) 653-2228

NPI assigned

Oct 31, 2007

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua S Samraj, MDNPI 1215047014

Title

President

Phone

(706) 653-2226

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua S Samraj, MD

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1215047014
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1780863324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 12TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011638",
            "telephone_number": "706-653-2226",
            "fax_number": "706-653-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 12TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011638",
            "telephone_number": "706-653-2226",
            "fax_number": "706-653-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMRAJ MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "SAMRAJ",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-653-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "046322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "297594",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DD4216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "GRP7206",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000880558C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00226966",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "923658",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rolando Sabater Sambitan, M.D.
• Lloyd B. Sampson, MD
• Matthew Bryan Sampson
• Joshua S Samraj, MD
• Sams East Inc (Sams Pharmacy 10-8213)
• Chelsea Reeves Samuels
• Charlotte Michelle Sanchez, LPC AND EDDPSY
• Cindy Paola Sanchez

• Medical Specialty Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.