SAMARA PRIMARY CARE CLINIC
NPI 1194694612
Family Medicine in Apopka, FL
About Samara Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMARA PRIMARY CARE CLINIC (NPI 1194694612) is a healthcare organization registered as a family medicine in Apopka, Florida and active in the NPI registry since November 2025. The organization lists Judith Faustin-gabriel, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samara Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Samara Primary Care Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Samara Primary Care Clinic's NPI number?
The NPI number for Samara Primary Care Clinic is 1194694612. It was assigned to this organization in the NPPES registry on November 3, 2025.
Where is Samara Primary Care Clinic located?
Samara Primary Care Clinic is located at 2513 Semoran Blvd, Apopka, FL 32703. The listed phone number is (321) 200-4489.
What is Samara Primary Care Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samara Primary Care Clinic enrolled in Medicare?
Yes. Samara Primary Care Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samara Primary Care Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Samara Primary Care Clinic, in General Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samara Primary Care Clinic was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Samara Primary Care Clinic · NPI 1194694612
Family Medicine organization in Apopka, Florida. Organization record, active in the CMS NPPES registry since November 3, 2025.
## Identity
- **NPI:** 1194694612 (Entity type: Organization)
- **Enumerated:** November 3, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Judith Faustin-Gabriel, MEDICAL DIRECTOR
## Practice location
- **Address:** 2513 SEMORAN BLVD, Apopka, FL 32703-5835
- **Phone:** (321) 200-4489 · **Fax:** (407) 554-5860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1194694612) · Data from the CMS NPPES public registry.