Active NPI
Samantha Soto, APRN
- Nurse Practitioner
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN315630
- Practice address
- 6413 Waters Ave Ste 102
Savannah, GA 31406-2711 - Phone
- (912) 349-6624
- Fax
- (912) 352-4728
- NPI assigned
- Oct 10, 2022
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | RN315630 | GA | |
| Nurse Practitioner | 363L00000X | RN315630 | GA | Primary |
Addresses
Primary practice location
6413 Waters Ave Ste 102
Savannah, GA 31406-2711
Mailing address
128 Nandina Way
Pooler, GA 31322-4074
Phone (239) 784-7952
Other practice location 1
1302 Drayton St
Savannah, GA 31401-6913
Phone (912) 443-9409
Other practice location 2
114 Canal St Ste 102
Pooler, GA 31322-4153
Phone (912) 349-6624
Other practice location 3
4704 Augusta Rd
Garden City, GA 31408-1758
Phone (912) 964-4326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret Ellis, MD, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Center for Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Savannah, GA
- NPI 1275022907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1861117129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 NANDINA WAY",
"city": "POOLER",
"state": "GA",
"postal_code": "313224074",
"telephone_number": "239-784-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6413 WATERS AVE STE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062711",
"telephone_number": "912-349-6624",
"fax_number": "912-352-4728"
}
],
"practiceLocations": [
{
"address_1": "1302 Drayton St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314016913",
"country_code": "US",
"telephone_number": "912-443-9409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 Canal St Ste 102",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313224153",
"country_code": "US",
"telephone_number": "912-349-6624",
"fax_number": "912-352-4728",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4704 Augusta Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "GA",
"postal_code": "314081758",
"country_code": "US",
"telephone_number": "912-964-4326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "GA",
"license": "RN315630",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN315630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.