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DR. DERICA NICOLE SAMS M.D.
NPI 1013443480
Pediatrics - Pediatric Gastroenterology in Loganville, GA

Active since May 04, 2017PECOS Enrolled
3925 HARRISON RD STE 100, LOGANVILLE, GA 30052(770) 274-4222(770) 284-3187 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derica Nicole Sams M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERICA NICOLE SAMS M.D. (NPI 1013443480) is an individual pediatric gastroenterology provider in Loganville, Georgia, licensed in Georgia (97229) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013443480
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. DERICA NICOLE SAMSCredential: M.D.
Location Address3925 HARRISON RD STE 100Loganville, GA 30052-5898
Mailing Address3925 Harrison Rd Ste 100Loganville, GA 30052-5898 · (770) 274-4222 · Fax (770) 284-3187
Phone(770) 274-4222
Fax(770) 284-3187
Sole ProprietorNo
Enumeration DateMay 4, 2017
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1013443480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in GA · 97229
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 227179 (NC)
3925 HARRISON RD STE 100, Loganville, GA 30052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derica Nicole Sams M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC DIGESTIVE HEALTH AND WELLNESS
Pediatrics (Pediatric Gastroenterology)
3925 HARRISON RD STE 100
LOGANVILLE, GA 30052
Gwinnett County (706) 340-4330
JULIANNE ARNOLD
Counselor (Mental Health)
3925 HARRISON RD STE 100
LOGANVILLE, GA 30052
Gwinnett County (770) 676-0737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derica Sams's NPI number?

The NPI number for Derica Sams is 1013443480. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Derica Sams located?

Derica Sams practices at 3925 Harrison Rd Ste 100, Loganville, GA 30052. The listed phone number is (770) 274-4222.

What is Derica Sams's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Derica Sams enrolled in Medicare?

Yes. Derica Sams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derica Sams was last updated on January 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.