SAMANTHA SMITH PA-C
NPI 1093602096
Physician Assistant - Surgical in Atlanta, GA

Active since June 23, 2025PECOS EnrolledAccepts Medicare Assignment
1450 S JOHNSON FERRY RD, ATLANTA, GA 30319(404) 800-4280 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 5, 2025, Jun 23, 2025 (2 updates tracked since 2025).

About Samantha Smith Pa-c NPPES

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

SAMANTHA SMITH PA-C (NPI 1093602096) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (13198) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Mercer University School Of Medicine (2025).

NPPES Registry Identity

NPI1093602096
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAMANTHA SMITHCredential: PA-C
Location Address1450 S JOHNSON FERRY RDAtlanta, GA 30319-4324
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 691-0506
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2025
Enumeration DateJune 23, 2025
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
NPI 1093602096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 13198
Also ListedPhysician AssistantTaxonomy 363A00000X
1450 S JOHNSON FERRY RD, Atlanta, GA 30319

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Smith Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345737425
PECOS Enrollment IDI20251013003786
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Other Providers at the Same Location NPPES 3

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

Urology
1450 S JOHNSON FERRY RD
ATLANTA, GA 30319
Physician Assistant (Surgical)
1450 S JOHNSON FERRY RD
ATLANTA, GA 30319
Urology
1450 S JOHNSON FERRY RD
ATLANTA, GA 30319

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 Samantha Smith's NPI number?

The NPI number for Samantha Smith is 1093602096. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Samantha Smith located?

Samantha Smith practices at 1450 S Johnson Ferry Rd, Atlanta, GA 30319. The listed phone number is (404) 800-4280.

What is Samantha Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samantha Smith enrolled in Medicare?

Yes. Samantha Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Samantha Smith 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.

Is Samantha Smith affiliated with any hospitals?

According to CMS data, Samantha Smith is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Smith was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.