Active NPI
Samantha Knight, DMD
- Dentist
- Brookhaven, GA
National Provider Identifier
1922466580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015379
- Practice address
- 804 Town Blvd NE Ste 2010
Brookhaven, GA 30319-3147 - Phone
- (404) 631-6277
- NPI assigned
- Feb 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015379 | GA | Primary |
Addresses
Primary practice location
804 Town Blvd NE Ste 2010
Brookhaven, GA 30319-3147
Mailing address
3719 Old Alabama Rd Ste 400-B
Johns Creek, GA 30022-8692
Phone (404) 631-6277
Other practice location 1
3719 Old Alabama Rd Ste 400-B
Johns Creek, GA 30022-8692
Phone (404) 631-6277
Other practice location 2
2405 Satellite Blvd Ste 115
Duluth, GA 30096-9022
Phone (770) 622-5909
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015379 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town Dentistry Brookhaven, LLC | Current | Accepting new patients | |
| Town Dentistry of Duluth, LLC | Past | Accepting new patients | |
| Meadowbrook Family Dentistry | Past | Accepting new patients |
Locations
804 Town Blvd NE
Ste 2010
Brookhaven, GA 30319
Phone (404) 631-6277
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Brookhaven, GA
- NPI 1780456301
-
- Dental Clinic/Center
- Duluth, GA
- NPI 1295180750
-
- General Practice Dentistry
- Duluth, GA
- NPI 1851163471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1922466580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 OLD ALABAMA RD STE 400-B",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300228692",
"telephone_number": "404-631-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 TOWN BLVD NE STE 2010",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193147",
"telephone_number": "404-631-6277"
}
],
"practiceLocations": [
{
"address_1": "3719 Old Alabama Rd Ste 400-B",
"address_purpose": "LOCATION",
"city": "Johns Creek",
"state": "GA",
"postal_code": "300228692",
"country_code": "US",
"telephone_number": "404-631-6277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2405 Satellite Blvd Ste 115",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300969022",
"country_code": "US",
"telephone_number": "770-622-5909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.