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Active NPI 1124614631 Individual Practitioner Female Practitioner

Samantha F Frederick , NP-C

Nurse Practitioner • Canton, GA

Professional Overview & Biography Verified Profile Summary

Samantha Frederick, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Canton, GA. Practice services are available at 228 RIVERSTONE DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

228 Riverstone Dr

Canton, GA 301145256

Telephone 7704791870
Fax 7704799705
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Canton, GA (3149 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
165 129 $213.00 $57.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
123 95 $314.00 $84.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
63 53 $129.00 $30.69

Medical Specialties & State Licenses

CMS Verified: 2021-09-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN203567

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003245264A (GA)
Medicaid State Provider ID
003245264B (GA)
Commercial Insurance / Payer ID Medicare Ptan
G24488A (GA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Yi Dong

Internal Medicine - Hematology & Oncology

NPI 1104245687
Dr. Navneet Dhillon , MD

Internal Medicine - Hematology & Oncology

NPI 1124282843

Doctor of Medicine (M.D.)

Kimberly Auriemma , MSN

Nurse Practitioner

NPI 1356329726

Master of Science in Nursing

Yee Ling Lieu

Pharmacist

NPI 1356898100
Kaitlin Ecie , FNP-C

Nurse Practitioner

NPI 1588259824

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated September 30, 2021

Recorded as SAMANTHA FREDERICK, NP-C

NPI Profile Active December 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2020

Registered at 228 RIVERSTONE DR, CANTON, GA 301145256 (Tel: 7704791870)

📍
Updated Business Mailing Address December 18, 2020

Registered at 1835 SAVOY DR STE 300, ATLANTA, GA 303411071 (Tel: 6782889555)

👤
Provider Name / Credentials Updated December 18, 2020

Recorded as SAMANTHA REEVES, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Nurse Practitioner (License #RN203567 in GA)

🟢
Initial NPI Registration & Enumeration December 18, 2020

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: 1124614631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2020
Last Update: September 30, 2021
Sole Proprietor: No

Mailing Address

1835 Savoy Dr Ste 300

Atlanta, GA 303411071

Phone: 6782889555

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.