Individual provider Active NPI

Samantha Fletcher, FNP-BC

  • Family Nurse Practitioner
  • Bainbridge, GA
National Provider Identifier
1982563706
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP247798 Issued in GA
Practice address
1601 Oak Dr
Bainbridge, GA 39819-5213
Phone
(229) 308-1672
NPI assigned
Jan 19, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP247798 GA Primary

Addresses

Primary practice location

1601 Oak Dr
Bainbridge, GA 39819-5213

Mailing address

1601 Oak Dr
Bainbridge, GA 39819-5213
Phone (229) 308-1672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317000216 GA Practitioner - Nurse Practitioner 2769965862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Emergency Medical Services LLCGroup PAC ID 3779701743, 24 clinicians
Southland Consolidated Emergency Services LLCGroup PAC ID 2860792066, 68 clinicians

Practice addresses (Care Compare)

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 200-4950

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP247798GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Consolidated Emergency Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Southland Emergency Medical Services, L.L.C CurrentSince Feb 1, 2026 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1982563706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OAK DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195213",
            "telephone_number": "229-308-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OAK DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195213",
            "telephone_number": "229-308-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SAMANTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP247798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.