DR. SAMARA RIVERS DO
NPI 1164224507
Student in an Organized Health Care Education/Training Program in Marietta, GA

Q: What is Samara Rivers's NPI number?

The NPI number for Samara Rivers is 1164224507. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Samara Rivers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samara Rivers was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 26, 2025PECOS Enrolled

833 CAMPBELL HILL ST NW STE 250, MARIETTA, GA 30060(470) 956-2020(770) 999-2785 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Samara Rivers Do NPPES

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

DR. SAMARA RIVERS DO (NPI 1164224507) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164224507

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SAMARA RIVERSCredential: DO

Location Address833 CAMPBELL HILL ST NW STE 250Marietta, GA 30060-1162

Mailing Address677 Church St Ne Lowr LevelMarietta, GA 30060-1101

Phone(470) 956-2020

Fax(770) 999-2785

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1164224507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CAMPBELL HILL ST NW STE 250, Marietta, GA 30060

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samara Rivers Do 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.

Other Providers at the Same Location NPPES 20

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

MAHMUT DEMIRTURK MD

Student in an Organized Health Care Education/Training Program