SAM SECORD
NPI 1184205478
Anesthesiologist Assistant in Atlanta, GA
NPI Status: Active since April 19, 2021
Contact Information
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 851-8000
- Individual
- Male
- Years of Experience 4
- Anesthesiologist Assistant
- Accepts Medicare Approved Payment
About SAM SECORD
This page provides the complete NPI Profile along with additional information for Sam Secord, a provider established in Atlanta, Georgia with a medical specialization in Anesthesiologist Assistant and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1184205478 assigned on April 2021. The practitioner's primary taxonomy code is 367H00000X with license number 11587 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1184205478
- Provider Name
- SAM SECORD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 JOHNSON FY RD NE ATLANTA, GA 30342
- Location Phone
- (404) 851-8000
- Mailing Address
- 57 EXECUTIVE PARK S STE 300 ATLANTA, GA 30329
- Mailing Phone
- (404) 727-5910
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-19-2021
- Last Update Date
- 04-28-2023
- Code Navigator
Location Map
Secondary Locations
- 57 Executive Park S Ste 300
Atlanta, GA 30329
(404) 727-5910
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 11587
- License State
- GA
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Sam Secord is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 42677544
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230526001021
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sam Secord is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
NORTHSIDE HOSPITAL | 1000 JOHNSON FERRY ROAD, NE ATLANTA, GA 30342 | (404) 851-8000 | Acute Care Hospitals |
Reviews for SAM SECORD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 8 | 4 | 2 | 0 | 5 | 4 | 7 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 16 | 4 | 4 | 0 | 10 | 4 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 6 + 4 + 4 + 0 + 1 + 0 + 4 + 1 + 4 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1184205478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MISS MELISSA RADER M.D
Anesthesiology
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
DR. BRANDY N WILKINS PT, DPT
Physical Therapist
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
NORTHSIDE URGENT CARE HOLDING, LLC
Family Medicine
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
CHRISTOPHER HELWIG CAA
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
AMANDA HANSEN NP
Nurse Practitioner
(Family)
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
LILI HAO
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
PATRICK KINNEBREW M.D.
Anesthesiology
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
PREETHY LETISHA NP
Nurse Practitioner
(Family)
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
RAGHUVEER SURYADEVARA MD
Hospitalist
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
MRS. BRITTANY ELEANOR BRADLEY CRNA
Nurse Anesthetist, Certified Registered
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
DANIEL LOTNER
Hospitalist
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
MEREDITH LEWIS
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
COLBY BYRD PAAA
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
BHAVIKA PATEL CAA
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
ASHLEY AGBULOS C-AA
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
PREYASI KOTHARI MD
Emergency Medicine
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
MR. TRAVIS DAVID JOHNSON AA
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
NORTHSIDE PEDIATRIC ORTHOPAEDIC PROFESSIONAL SERVICES, LLC
Specialist
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
STACI C HOFIUS CRNA
Nurse Anesthetist, Certified Registered
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
REBECCA CORINNE WELSCH
Anesthesiologist Assistant
1000 JOHNSON FY RD NE
ATLANTA, GA
ZIP 30342
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184205478, enumerated as an "individual" on April 19, 2021.
The provider is located at 1000 JOHNSON FY RD NE ATLANTA, GA 30342 and the phone number is (404) 851-8000.
Anesthesiologist Assistant with taxonomy code 367H00000X.
Sam Secord is affiliated with: NORTHSIDE HOSPITAL.