NPIMap

Organization Active NPI

Samantha Ball DO LLC

Doing business as Ball Pediatrics

  • Pediatrics Physician
  • Dacula, GA
National Provider Identifier
1942938311
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAMANTHA BALL DO LLC
Doing business as
Ball Pediatrics
Hamilton Mill Pediatrics
Practice address
3619 Braselton Hwy Ste 103
Dacula, GA 30019-4668
Phone
(770) 513-8882
Fax
(770) 513-3545
NPI assigned
Aug 12, 2022
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Samantha Ball, DONPI 1417498627
Title
Owner
Phone
(209) 985-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3619 Braselton Hwy Ste 103
Dacula, GA 30019-4668

Mailing address

3619 Braselton Hwy Ste 103
Dacula, GA 30019-4668
Phone (770) 513-8882

Other practice location 1

2610 Highway 129 N
Jefferson, GA 30549-2652
Phone (770) 513-8882

Other names 2

  • Ball Pediatrics Doing business as
  • Hamilton Mill Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0995408Ball Pediatrics3619 Braselton Highway Suite 103, Dacula, GA 30019Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1942938311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 BRASELTON HWY STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194668",
            "telephone_number": "770-513-8882",
            "fax_number": "770-513-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 BRASELTON HWY STE 103",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194668",
            "telephone_number": "770-513-8882",
            "fax_number": "770-513-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Highway 129 N",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "305492652",
            "country_code": "US",
            "telephone_number": "770-513-8882",
            "fax_number": "770-513-3545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMANTHA BALL DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-985-5133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ball Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton Mill Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.