Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY PATRICE SAMUELS
NPI 1184422446
Nurse Practitioner - Acute Care in Fort Eisenhower, GA

Active since March 04, 2025PECOS Enrolled
300 E HOSPITAL ROAD, FORT EISENHOWER, GA 30905(706) 787-5811 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Sep 15, 2026, Mar 4, 2025 (3 updates tracked since 2025).

About Destiny Patrice Samuels NPPES

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

DESTINY PATRICE SAMUELS (NPI 1184422446) is an individual acute care provider in Fort Eisenhower, Georgia, licensed in Georgia (GAA-NP005702) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1184422446
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDESTINY PATRICE SAMUELS
Location Address300 E HOSPITAL ROADFort Eisenhower, GA 30905
Mailing Address300 E Hospital RoadFort Eisenhower, GA 30905
Sole ProprietorYes
Enumeration DateMarch 4, 2025
Last NPPES UpdateOctober 27, 20263 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1184422446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · GAA-NP005702
Also ListedRegistered NurseTaxonomy 163W00000X · License 1186260 (AL)
300 E HOSPITAL ROAD, Fort Eisenhower, GA 30905

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-1244

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Patrice Samuels 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

Urology
300 E HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Family Medicine
300 E HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Optometrist
300 E HOSPITAL ROAD
FORT GORDON, GA 30905
Physical Therapist
300 E HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Emergency Medicine
300 E HOSPITAL ROAD
FORT GORDON, GA 30905
Ophthalmology
300 E HOSPITAL ROAD
FORT GORDON, GA 30905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 E HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Marriage & Family Therapist
300 E HOSPITAL ROAD, 12A-10
FT GORDON, GA 30905

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 Destiny Samuels's NPI number?

The NPI number for Destiny Samuels is 1184422446. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Destiny Samuels located?

Destiny Samuels practices at 300 E Hospital Road, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-5811.

What is Destiny Samuels's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Destiny Samuels enrolled in Medicare?

Yes. Destiny Samuels is registered in the Medicare PECOS enrollment system.

What insurance does Destiny Samuels accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Destiny Samuels 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 Destiny Samuels was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.