Individual provider Active NPI

Samantha Kleiber Newman, PA-C

  • Surgical Physician Assistant
  • Gainesville, GA
National Provider Identifier
1912541533
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9965 Issued in GA
Practice address
655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756
Phone
(770) 533-7288
Fax
(770) 534-9800
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9965 GA Primary

Addresses

Primary practice location

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756

Mailing address

601 Broad St SE Ste a
Gainesville, GA 30501-3718
Phone (470) 293-9800

Other practice location 1

1270 Friendship Rd
Braselton, GA 30517-5608
Phone (678) 207-4600

Other practice location 2

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (609) 947-6727

Other practice location 3

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-7288

Other practice location 4

601 Broad St SE Ste A
Gainesville, GA 30501-3718
Phone (470) 293-9800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110001388 GA Practitioner - Physician Assistant 8921418575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia Col of Osteo Med, Sewanee, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Neurosurgery LLCGroup PAC ID 4880173079, 2 clinicians
The Longstreet Clinic, PCGroup PAC ID 2668465733, 140 clinicians

Practice addresses (Care Compare)

601 Broad St SE
Suite Aandb
Gainesville, GA 30501-3707
Phone (470) 293-9800

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3854
Phone (770) 533-6511

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 533-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
87.6
Promoting interoperability
100
Improvement activities
40
Cost
76.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Neurosurgery LLC CurrentSince Jan 27, 2026 Accepting new patients
The Longstreet Clinic, PC CurrentSince Nov 9, 2020 Accepting new patients

Locations

1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 535-9391

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

601 Broad St SE
Ste A
Gainesville, GA 30501
Phone (470) 293-9800

601 Broad St SE
Ste Ab
Gainesville, GA 30501
Phone (470) 293-9800

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200

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 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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1912541533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROAD ST SE STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013718",
            "telephone_number": "470-293-9800",
            "fax_number": "844-689-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013756",
            "telephone_number": "770-533-7288",
            "fax_number": "770-534-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Friendship Rd",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175608",
            "country_code": "US",
            "telephone_number": "678-207-4600",
            "fax_number": "678-207-4601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "609-947-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013834",
            "country_code": "US",
            "telephone_number": "770-533-7288",
            "fax_number": "770-534-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Broad St SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013718",
            "country_code": "US",
            "telephone_number": "470-293-9800",
            "fax_number": "844-689-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "SAMANTHA",
        "middle_name": "KLEIBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "9965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.