SAM SECORD
NPI 1184205478
Anesthesiologist Assistant in Atlanta, GA
About Sam Secord NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM SECORD (NPI 1184205478) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (11587) and active in the NPI registry since April 2021. He is affiliated with Northside Hospital, maintains a secondary practice location in Atlanta, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sam Secord 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside 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 30342
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 Sam Secord's NPI number?
The NPI number for Sam Secord is 1184205478. It was assigned to this individual provider in the NPPES registry on April 19, 2021.
Where is Sam Secord located?
Sam Secord practices at 1000 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 851-8000.
What is Sam Secord's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Sam Secord enrolled in Medicare?
Yes. Sam Secord 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.
Is Sam Secord affiliated with any hospitals?
According to CMS data, Sam Secord is affiliated with Northside Hospital.
When was this NPI record last updated?
The NPPES record for Sam Secord was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sam Secord · NPI 1184205478
Anesthesiologist Assistant physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1184205478 (Entity type: Individual)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 11587 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 JOHNSON FY RD NE, Atlanta, GA 30342-1606
- **Phone:** (404) 851-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184205478) · Data from the CMS NPPES public registry.