Individual provider Active NPI

Samantha Soto, APRN

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1861117129
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN315630 Issued in GA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Margaret Ellis, MD, LLC PastSince Jul 8, 2024 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.

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.

Verify at the official NPI Registry.