Individual provider Active NPI

Samantha Motis, CRNA

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
National Provider Identifier
1891302873
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11010618 Issued in FL
Practice address
2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone
(770) 643-5619
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9407952 FL
Certified Registered Nurse Anesthetist 367500000X APRN11010618 FL Primary

Addresses

Primary practice location

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Mailing address

4003 S West Shore Blvd Apt 1812
Tampa, FL 33611-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000535 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204241714 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Northstar Anesthesia of Florida LLCGroup PAC ID 8921522376, 43 clinicians

Practice addresses (Care Compare)

12900 Cortez Blvd
Suite 103
Brooksville, FL 34613-6897
Phone (352) 596-1145

Hospital & facility affiliations

  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9407952FLMDRegistered Nurse
APRN11010618FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Career Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2022 Accepting new patients
Pinellas County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Northstar Anesthesia of Florida LLC CurrentSince Mar 8, 2025 Accepting new patients
Tampa Bay Joint and Spine, LLC CurrentSince Mar 1, 2025 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients

Locations (25 of 27)

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

616 E St
Ste A
Clearwater, FL 33756
Phone (727) 447-0888

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303

3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1891302873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 S WEST SHORE BLVD APT 1812",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "770-643-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTIS",
        "first_name": "SAMANTHA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9407952",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11010618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.