Individual provider Active NPI

Amena Samar, M.D

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1942515531
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD34472 Issued in AL
Practice address
120 Sunvalley Dr
Alpharetta, GA 30004-4383
Phone
(770) 656-7743
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 067314 GA
Family Medicine Physician 207Q00000X MD34472 AL Primary

Addresses

Primary practice location

120 Sunvalley Dr
Alpharetta, GA 30004-4383

Mailing address

120 Sunvalley Dr
Alpharetta, GA 30004-4383
Phone (770) 656-7743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131021001393 GA Practitioner - Family Practice 1153556501 Reassigns benefits to 5 organizations
I20151116001753 AL Practitioner - Family Practice 1153556501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unicare Plus PLLCGroup PAC ID 2466820881, 5 clinicians

Practice addresses (Care Compare)

2228 Village Dr
Moody, AL 35004-3241
Phone (659) 223-4010

604 Stone Ave
Talladega, AL 35160-2217
Phone (256) 362-8111

Hospital & facility affiliations

  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD34472ALMDFamily Medicine Physician
067314GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2015 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Sep 8, 2013 Accepting new patients
Unicare Plus, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Apogee Medical Group Georgia CurrentSince Sep 20, 2013 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Aug 15, 2017 Accepting new patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
BBH CBMC, LLC Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

2228 Village Dr
Unit 2
Moody, AL 35004

2228 Village Dr
Moody, AL 35004
Phone (205) 640-6757

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

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 1

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1942515531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SUNVALLEY DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044383",
            "telephone_number": "770-656-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SUNVALLEY DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044383",
            "telephone_number": "770-656-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAR",
        "first_name": "AMENA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "067314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD34472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.