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Active NPI 1154828366 Individual Practitioner Female Practitioner

Elizabeth Sam

Nurse Practitioner - Primary Care • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Elizabeth Sam is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Lilburn, GA. Practice services are available at 4025 LAWRENCEVILLE HWY NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4025 Lawrenceville Hwy Nw

Lilburn, GA 300473013

Telephone 7705593501
Associated Practice Facility / Clinic
🏢 New Community Horizon, Inc Facility NPI 1679769582

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Lilburn, GA (343 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: 2021-10-06
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License GA F01180587

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
Almas Momin , FNP-C

Nurse Practitioner - Family

NPI 1073918280

Family Nurse Practitioner (Certified)

Immani Mays , FNP-C

Nurse Practitioner

NPI 1508676461

Family Nurse Practitioner (Certified)

NPI 1700533940

REGISTEREDNURSE

Dr. Aziz Pirani , MD

Family Medicine

NPI 1760622096

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 06, 2021

Registered at 1328 AVINGTON GLEN DR, LAWRENCEVILLE, GA 300453500 (Tel: 4234146926)

✅
NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2018

Registered at 4025 LAWRENCEVILLE HWY NW, LILBURN, GA 300473013 (Tel: 7705593501)

📍
Updated Business Mailing Address April 12, 2018

Registered at 421 E FORK SHADY DR NW, LILBURN, GA 300472693 (Tel: 4234146926)

👤
Provider Name / Credentials Updated April 12, 2018

Recorded as ELIZABETH SAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Nurse Practitioner (License #F01180587 in GA)

🟢
Initial NPI Registration & Enumeration April 12, 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: 1154828366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2018
Last Update: October 06, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1328 Avington Glen Dr

Lawrenceville, GA 300453500

Phone: 4234146926

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.