Samantha Suzanne Spell, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN145966 Issued in GA

Practice address

1000 Medical Center Blvd
Inpatient Medical Group
Lawrenceville, GA 30045-7694

Phone

(678) 312-3294

Fax

(678) 312-3282

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Blue Summit Palliative Care LLC

  • Case Management Agency
  • Roswell, GA
  • NPI 1841017985
  NPD
• Gwinnett Medical Group, Inc

  • General Practice Physician
  • Lawrenceville, GA
  • NPI 1780747469
  NPD
• Gwinnett Pathology Assoc PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lawrenceville, GA
  • NPI 1104887330
  NPD
• David E Kim MD PC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1194919381
  NPD (past)
• The Healthcaring Clinic of Georgia, LLC

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1669539508
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1811048663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "address_2": "INPATIENT MEDICAL GROUP",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "address_2": "INPATIENT MEDICAL GROUP",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457694",
            "telephone_number": "678-312-3294",
            "fax_number": "678-312-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 Walther Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468765",
            "country_code": "US",
            "telephone_number": "770-736-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPELL",
        "first_name": "SAMANTHA",
        "middle_name": "SUZANNE",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN145966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778302548A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specme Eyewear LLC
• Craig M Spector, MD
• Jennifer Maria Speights, M.ED.
• Charles S Speir, APRN, BC
• Kristyn Spelina
• Dinah Lynn Spence
• Tatianna Spence
• Donovan James Spencer, MD
• Laura Leigh Spencer, LPC
• Laurie Diane Sperry

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.