SAMUEL J BERRY RN
NPI 1124654140
Registered Nurse - Critical Care Medicine in Atlanta, GA
About Samuel J Berry Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL J BERRY RN (NPI 1124654140) is an individual critical care medicine provider in Atlanta, Georgia, licensed in Georgia (GA278178) and active in the NPI registry since March 2020. He is affiliated with Grady Memorial Hospital and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel J Berry Rn 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
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 Samuel Berry's NPI number?
The NPI number for Samuel Berry is 1124654140. It was assigned to this individual provider in the NPPES registry on March 21, 2020.
Where is Samuel Berry located?
Samuel Berry practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-5000.
What is Samuel Berry's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.
Is Samuel Berry enrolled in Medicare?
Yes. Samuel Berry 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.
Which organization bills Medicare for Samuel Berry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Berry reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, GA). The 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 Samuel Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Berry accept?
Health plans from Oscar Health list Samuel Berry 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 Samuel Berry affiliated with any hospitals?
According to CMS data, Samuel Berry is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Berry was last updated on March 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 J Berry, RN · NPI 1124654140
Critical Care Medicine provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 21, 2020.
## Identity
- **NPI:** 1124654140 (Entity type: Individual)
- **Enumerated:** March 21, 2020
- **Primary specialty:** Registered Nurse - Critical Care Medicine · taxonomy 163WC0200X
- **State license:** GA278178 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1968 PEACHTREE RD NW, Atlanta, GA 30309-1281
- **Phone:** (404) 605-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124654140) · Data from the CMS NPPES public registry.