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SHEEBA SAMUEL
NPI 1154923563
Nurse Practitioner - Psychiatric/Mental Health in Buford, GA

Active since November 10, 2020PECOS Enrolled
2949 HEART PINE WAY, BUFORD, GA 30519(972) 675-9238 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sheeba Samuel NPPES

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

SHEEBA SAMUEL (NPI 1154923563) is an individual psychiatric/mental health provider in Buford, Georgia, licensed in Georgia (273587) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154923563
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHEEBA SAMUEL
Location Address2949 HEART PINE WAYBuford, GA 30519-7639
Mailing Address2949 Heart Pine WayBuford, GA 30519-7639 · (972) 675-9238
Phone(972) 675-9238
Sole ProprietorNo
Enumeration DateNovember 10, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1154923563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 273587
2949 HEART PINE WAY, Buford, GA 30519
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheeba Samuel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sheeba Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
42 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sheeba Samuel's NPI number?

The NPI number for Sheeba Samuel is 1154923563. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Sheeba Samuel located?

Sheeba Samuel practices at 2949 Heart Pine Way, Buford, GA 30519. The listed phone number is (972) 675-9238.

What is Sheeba Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sheeba Samuel enrolled in Medicare?

Yes. Sheeba Samuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheeba Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheeba Samuel reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, 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 Sheeba Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheeba Samuel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Sheeba Samuel 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.

When was this NPI record last updated?

The NPPES record for Sheeba Samuel was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.