SAMUEL L. CHURCH, MD, PC
NPI 1023153244
Family Medicine in Hiawassee, GA
About Samuel L. Church, Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL L. CHURCH, MD, PC (NPI 1023153244) is a healthcare organization registered as a family medicine in Hiawassee, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Samuel L Church, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel L. Church, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Samuel L. Church, MD, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1053459
Samuel L Church MD PC · Hiawassee, GAFrequently 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 Samuel L. Church, MD, PC's NPI number?
The NPI number for Samuel L. Church, MD, PC is 1023153244. It was assigned to this organization in the NPPES registry on February 21, 2007.
Where is Samuel L. Church, MD, PC located?
Samuel L. Church, MD, PC is located at 85 Seasons Lane, Hiawassee, GA 30546. The listed phone number is (706) 896-0505.
What is Samuel L. Church, MD, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samuel L. Church, MD, PC enrolled in Medicare?
Yes. Samuel L. Church, MD, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samuel L. Church, MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Samuel L. Church, MD, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Samuel L. Church, MD, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1053459) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Samuel L. Church, MD, PC accept?
Health plans from Alliant Health Plans, Inc. list Samuel L. Church, MD, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel L. Church, MD, PC was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel L. Church, Md, Pc · NPI 1023153244
Family Medicine organization in Hiawassee, Georgia. Organization record, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1023153244 (Entity type: Organization)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Church, OWNER
## Practice location
- **Address:** 85 SEASONS LANE, Hiawassee, GA 30546
- **Phone:** (706) 896-0505 · **Fax:** (866) 796-2502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 29, 2016
- **Other identifiers:** Medicare UPIN H37087 (GA); Medicaid 000901271D (GA); Medicare PIN 08BBWVK (GA); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023153244) · Data from the CMS NPPES public registry.