Individual provider Active NPI

Samuel Eric Khair, DO

  • Family Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1851041313
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103982 Issued in GA
Practice address
125 Eagle Spring Dr
Stockbridge, GA 30281-6328
Phone
(770) 213-3366
NPI assigned
Mar 28, 2022
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 103982 GA Primary

Addresses

Primary practice location

125 Eagle Spring Dr
Stockbridge, GA 30281-6328

Mailing address

125 Eagle Spring Dr
Stockbridge, GA 30281-6328
Phone (770) 213-3366

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814002336 GA Practitioner - Family Practice 0143601948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khair Family Practice, PCGroup PAC ID 9133343551, 2 clinicians

Practice addresses (Care Compare)

125 Eagle Spring Dr
Stockbridge, GA 30281-6328
Phone (770) 213-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
103982GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khair Family Practice, PC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Kennestone Hospital, Inc PastSince Apr 1, 2022 Accepting new patients

Locations

125 Eagle Spring Dr
Stockbridge, GA 30281
Phone (770) 213-3366

125 Eagle Spring Dr
Ste A
Stockbridge, GA 30281

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGFCA

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1851041313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816328",
            "telephone_number": "770-213-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816328",
            "telephone_number": "770-213-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIR",
        "first_name": "SAMUEL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "103982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.