Samantha Steele, MBA, ATC, LAT, CEIS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003124 Issued in GA

Practice address

5425 Aloha Way
Flowery Branch, GA 30542-2818

Phone

(574) 849-7141

NPI assigned

May 31, 2017

Sex

Female

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

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1972031201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ARBOR DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 ALOHA WAY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422818",
            "telephone_number": "574-849-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "SAMANTHA",
        "credential": "MBA, ATC, LAT, CEIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Montgomery Smith, PA
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• Rebecca Soles, MSOT, OTR/L
• Michael Soto, MD
• Robin Renee States, LPN
• Stellar Surgical Assisting
• Kacee Stevens, PT, DPT
• Kelly Stockdale, LPC
• Stone Chiropractic and Rehabilitation
• Bobby Wayne Stone Jr., D.C.

• Athletic Trainer in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.