Active NPI
Samantha Stamey, NP-C
- Nurse Practitioner
- Gainesville, GA
National Provider Identifier
1861142168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F09200880
- Practice address
- 961 Green Street NE
Gainesville, GA 30501 - Phone
- (770) 534-0656
- Fax
- (770) 534-9553
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09200880 | GA | |
| Nurse Practitioner | 363L00000X | F09200880 | GA | Primary |
Addresses
Primary practice location
961 Green Street NE
Gainesville, GA 30501
Mailing address
2962 Moore Mills Rd
Gainesville, GA 30507-8662
Phone (678) 776-7056
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Desktop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09200880 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary E Watkins DC PC | 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 and National Provider Directory roles.
-
- Chiropractor
- Gainesville, GA
- NPI 1134294044
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": "1648425600000",
"number": "1861142168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2962 MOORE MILLS RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305078662",
"telephone_number": "678-776-7056",
"fax_number": "770-534-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 GREEN STREET NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-534-0656",
"fax_number": "770-534-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMEY",
"first_name": "SAMANTHA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "F09200880",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "F09200880",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "961 Green Street NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "30501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.