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SAM PENG MD PC
NPI 1043442080
Family Medicine - Geriatric Medicine in Atlanta, GA

Active since August 10, 2009
1622 RIVERGREEN BND SE, ATLANTA, GA 30339(770) 587-5485 Get Directions Write a Review

NPPES record last updated: August 10, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sam Peng Md Pc NPPES

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

SAM PENG MD PC (NPI 1043442080) is a healthcare organization registered as a geriatric medicine in Atlanta, Georgia and active in the NPI registry since August 2009. The organization lists Sam Q Peng, Director, as its authorized official.

NPPES Registry Identity

NPI1043442080
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSAM PENG MD PC
Location Address1622 RIVERGREEN BND SEAtlanta, GA 30339-8546
Mailing Address1622 Rivergreen Bnd SeAtlanta, GA 30339-8546 · (770) 587-5485
Phone(770) 587-5485
Organization SubpartNo
Authorized OfficialSam Q PengDirector · (770) 820-3855
Enumeration DateAugust 10, 2009
✔ NPI 1043442080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in GA · 057232
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1622 RIVERGREEN BND SE, Atlanta, GA 30339
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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)

Sam Peng Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sam Peng MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sam Peng, M.D.
Family Practice
NPI 1841221769
72 PLAZA WAY NW STE 121
Marietta, GA 30060
(770) 795-8070
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sam Peng MD PC's NPI number?

The NPI number for Sam Peng MD PC is 1043442080. It was assigned to this organization in the NPPES registry on August 10, 2009.

Where is Sam Peng MD PC located?

Sam Peng MD PC is located at 1622 Rivergreen Bnd SE, Atlanta, GA 30339. The listed phone number is (770) 587-5485.

What is Sam Peng MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Sam Peng MD PC enrolled in Medicare?

Yes. Sam Peng MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam Peng MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sam Peng 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sam Peng MD PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sam Peng 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 Sam Peng MD PC was last updated on August 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.