Samel T Gebresilasie

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

057597061 Issued in GA

Practice address

2053 Martin Luther King Jr Dr SW
Atlanta, GA 30310-1165

Phone

(404) 513-6908

NPI assigned

Mar 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1952168254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101165",
            "telephone_number": "404-513-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101165",
            "telephone_number": "404-513-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRESILASIE",
        "first_name": "SAMEL",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "057597061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melat Gebre, MD
• Samrawit Gebre, MD
• Lewam Gebremariam
• Nega Bizuneh Gebremariam, MD
• Bereket Okube Gebremedhin, APRN
• Samuel Gebreyonas, NP
• Steve Gedaly
• Jessica Haley Geddes, PSYD
• Satyanarayana Gedela, MD
• Francesca Carmel Gedeon

• Non-emergency Medical Transport (VAN) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.