Active NPI
Gigy Sam
- Family Nurse Practitioner
- Buford, GA
National Provider Identifier
1992149991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN173389
- Practice address
- 1950 Buford Hwy
Buford, GA 30518-3673 - Phone
- (770) 945-7286
- NPI assigned
- Apr 20, 2013
- Last updated
- Mar 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN173389 | GA | Primary |
Addresses
Primary practice location
1950 Buford Hwy
Buford, GA 30518-3673
Mailing address
920 Ewing Chapel Rd
Dacula, GA 30019-2441
Phone (678) 481-4393
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130522000178 | GA | Practitioner - Nurse Practitioner | 1658519236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN173389 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergent Testing LLC | Current | Accepting new patients |
Locations
13 Corporate Blvd NE
Ste 250
Brookhaven, GA 30329
Phone (229) 442-7210
Interoperability endpoints
- gigy.sam.1@20067.direct.athenahealth.com
- gigy.sam.1@30520.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1982214888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1992149991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 EWING CHAPEL RD",
"city": "DACULA",
"state": "GA",
"postal_code": "300192441",
"telephone_number": "678-481-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 BUFORD HWY",
"city": "BUFORD",
"state": "GA",
"postal_code": "305183673",
"telephone_number": "770-945-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "GIGY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-20",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN173389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.