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Active NPI 1720586365 Individual Practitioner Female Practitioner

Lisa A Samples , CPNP-AC

Nurse Practitioner - Pediatrics • Austell, GA

Professional Overview & Biography Verified Profile Summary

Lisa Samples, CPNP-AC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Austell, GA. Practice services are available at 3950 AUSTELL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3950 Austell Rd

Austell, GA 301061121

Telephone 4707325299
Associated Practice Facility / Clinic
🏢 Cobb Hospital, Inc Facility NPI 1619967494

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Austell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Austell, GA (929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN224696

Definition to come...

Secondary Practice Locations

1001 Johnson Ferry Rd

Atlanta, GA 303421605

Phone: 4047855437

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1386937282

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2018

Registered at 3950 AUSTELL RD, AUSTELL, GA 301061121 (Tel: 4707325299)

📍
Updated Business Mailing Address January 29, 2018

Registered at 4407 BLACK HILLS DR NW, ACWORTH, GA 301011422 (Tel: 6785917015)

👤
Provider Name / Credentials Updated January 29, 2018

Recorded as LISA SAMPLES, CPNP-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Nurse Practitioner (License #RN224696 in GA)

🟢
Initial NPI Registration & Enumeration January 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720586365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2018
Last Update: June 23, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4407 Black Hills Dr Nw

Acworth, GA 301011422

Phone: 6785917015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.