SAMANTHA JOI TAIT DNP, CPNP-PC
NPI 1093604985
Nurse Practitioner - Pediatrics in Covington, GA

Active since July 02, 2025
4152 BAKER ST NE, COVINGTON, GA 30014(770) 788-1077 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Joi Tait Dnp, Cpnp-pc NPPES

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

SAMANTHA JOI TAIT DNP, CPNP-PC (NPI 1093604985) is an individual pediatrics provider in Covington, Georgia, licensed in Georgia (RN308453) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1093604985
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA JOI TAITCredential: DNP, CPNP-PC
Location Address4152 BAKER ST NECovington, GA 30014-1404
Mailing Address4541 Springwood DrMonroe, GA 30655-8395 · (419) 308-7640
Sole ProprietorYes
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1093604985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN308453
4152 BAKER ST NE, Covington, GA 30014

Other Providers at the Same Location NPPES 7

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

Pediatrics
4152 BAKER ST NE
COVINGTON, GA 30014
Pediatrics
4152 BAKER ST NE
COVINGTON, GA 30014
Home Health Aide
4152 BAKER ST NE
COVINGTON, GA 30014
Nurse Practitioner (Pediatrics)
4152 BAKER ST NE
COVINGTON, GA 30014
Nurse Practitioner (Family)
4152 BAKER ST NE
COVINGTON, GA 30014
Pediatrics
4152 BAKER ST NE
COVINGTON, GA 30014
Nurse Practitioner (Pediatrics)
4152 BAKER ST NE
COVINGTON, GA 30014

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 Tait's NPI number?

The NPI number for Samantha Tait is 1093604985. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Samantha Tait located?

Samantha Tait practices at 4152 Baker St NE, Covington, GA 30014. The listed phone number is (770) 788-1077.

What is Samantha Tait's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Samantha Tait was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.