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DR. ALAINA SAMPLES CONNER PHD
NPI 1104147651
Clinical Neuropsychologist in Gainesville, GA

Active since June 18, 2010Opted out of Medicare · through Jul 16, 2028
601 CANDLER, GAINESVILLE, GA 30501(770) 569-3839 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 29, 2021, Jan 29, 2020 (2 updates tracked since 2020).

About Dr. Alaina Samples Conner Phd NPPES

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

DR. ALAINA SAMPLES CONNER PHD (NPI 1104147651) is an individual clinical neuropsychologist in Gainesville, Georgia, licensed in Georgia (PSY004369) and active in the NPI registry since June 2010. She has opted out of Medicare through July 16, 2028.

NPPES Registry Identity

NPI1104147651
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. ALAINA SAMPLES CONNERCredential: PHD
Location Address601 CANDLERGainesville, GA 30501
Mailing Address610 Candler StGainesville, GA 30501-3334 · (770) 569-3839
Phone(770) 569-3839
Sole ProprietorYes
Enumeration DateJune 18, 2010
Last NPPES UpdateJune 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1104147651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in GA · PSY004369
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC005800 (GA)
601 CANDLER, Gainesville, GA 30501
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Other Names 1

Former Name (1)Dr. Alaina Samples Conner Alaina Samples

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alaina Samples Conner Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 16, 2024 through July 16, 2028.

Opt-Out Effective DateJuly 16, 2024
Opt-Out In Effect ThroughJuly 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Alaina Conner's NPI number?

The NPI number for Alaina Conner is 1104147651. It was assigned to this individual provider in the NPPES registry on June 18, 2010. The provider is also known as Dr. Alaina Samples Conner Alaina Samples.

Where is Alaina Conner located?

Alaina Conner practices at 601 Candler, Gainesville, GA 30501. The listed phone number is (770) 569-3839.

What is Alaina Conner's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Alaina Conner enrolled in Medicare?

No. Alaina Conner has opted out of Medicare through July 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alaina Conner was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.