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ELIZABETH SAM
NPI 1154828366
Nurse Practitioner - Primary Care in Lilburn, GA

Active since April 12, 2018
4025 LAWRENCEVILLE HWY NW, LILBURN, GA 30047(770) 559-3501 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2021, Apr 12, 2018 (2 updates tracked since 2018).

About Elizabeth Sam NPPES

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

ELIZABETH SAM (NPI 1154828366) is an individual primary care provider in Lilburn, Georgia, licensed in Georgia (F01180587) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1154828366
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELIZABETH SAM
Location Address4025 LAWRENCEVILLE HWY NWLilburn, GA 30047-3013
Mailing Address1328 Avington Glen DrLawrenceville, GA 30045-3500 · (423) 414-6926
Phone(770) 559-3501
Sole ProprietorNo
Enumeration DateApril 12, 2018
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1154828366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · F01180587
4025 LAWRENCEVILLE HWY NW, Lilburn, GA 30047
Open in Google Maps ↗

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.

MRS. ABOSEDE A OSHINUBI RD, LD
Dietitian, Registered
4025 LAWRENCEVILLE HWY NW, SUITE A
LILBURN, GA 30047
Gwinnett County (770) 921-7007
DR. FARHAD NIKOUNEJAD
Pharmacist
4025 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (770) 710-0478
BARBARA LITTLE MSN NURSE
Clinical Nurse Specialist (Psychiatric/Mental Health)
4025 LAWRENCEVILLE HWY NW, SUITE A
LILBURN, GA 30047
Gwinnett County (770) 921-7007
MISS IMMANI MAYS FNP-C
Nurse Practitioner
4025 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Gwinnett County (770) 559-3501
NEW COMMUNITY HORIZON, INC
Family Medicine
4025 LAWRENCEVILLE HWY NW, SUITE A
LILBURN, GA 30047
Gwinnett County (770) 921-7007
AZIZ A PIRANI MD
Family Medicine
4025 LAWRENCEVILLE HWY NW, SUITE A
LILBURN, GA 30047
Gwinnett County (770) 559-3501
LILBURN PEDIATRICS
Pediatrics (Adolescent Medicine)
4025 LAWRENCEVILLE HWY NW, SUITE B
LILBURN, GA 30047
Gwinnett County (770) 381-0307

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 Elizabeth Sam's NPI number?

The NPI number for Elizabeth Sam is 1154828366. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Elizabeth Sam located?

Elizabeth Sam practices at 4025 Lawrenceville Hwy NW, Lilburn, GA 30047. The listed phone number is (770) 559-3501.

What is Elizabeth Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Elizabeth Sam was last updated on October 6, 2021. 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.