Individual provider Active NPI

Samantha Lynn Davis, NP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1992335863
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN260006 Issued in GA
Practice address
6301 Abercorn St
Savannah, GA 31405-5701
Phone
(912) 352-8700
Fax
(912) 650-6805
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23608 SC
Nurse Practitioner 363L00000X RN260006 GA Primary

Addresses

Primary practice location

6301 Abercorn St
Savannah, GA 31405-5701

Mailing address

6714 Sand Rd
Savannah, GA 31410-2308
Phone (229) 291-1616

Other names 1

  • Samantha Lynn Claybrook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201102000003 SC Practitioner - Nurse Practitioner 4688084718 Reassigns benefits to 2 organizations
I20241010000334 GA Practitioner - Nurse Practitioner 4688084718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 681-6122

6301 Abercorn St
Savannah, GA 31405-5701
Phone (912) 350-7020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Associate of Hilton Head LLC CurrentSince Oct 28, 2020 Accepting new patients
Heart Associate of Hilton Head PC CurrentSince Oct 28, 2020 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Jun 8, 2024 Accepting new patients

Locations

4700 Waters Ave
Ste 400
Savannah, GA 31404
Phone (912) 273-1100

101 W Mulberry Blvd
Ste 100
Savannah, GA 31407
Phone (912) 350-6000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

6301 Abercorn St
Savannah, GA 31405
Phone 9123528700 ext. 127

500 Maple Dr
Vidalia, GA 30474
Phone (912) 535-3500

14 Westbury Way
Ste 103
Bluffton, SC 29910
Phone (843) 384-6256

35 Hospital Center Cmns
Ste 101
Hilton Head Island, SC 29926
Phone (843) 682-4673

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

14 Okatie Center Blvd S
#101
Okatie, SC 29909
Phone (843) 836-3800

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1992335863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 SAND RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102308",
            "telephone_number": "229-291-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055701",
            "telephone_number": "912-352-8700",
            "fax_number": "912-650-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23608",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN260006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CLAYBROOK",
            "middle_name": "LYNN",
            "credential": "NP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.