SAMARA ACOSTA
NPI 1205553112
Nurse Practitioner - Family in Pearson, GA
About Samara Acosta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMARA ACOSTA (NPI 1205553112) is an individual family provider in Pearson, Georgia, licensed in Georgia (RN259547) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hoopa, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samara Acosta 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.
Medicare Billing Reassignments
3Medicare enrollment records show Samara Acosta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ocilla, GA 31774
- Reassigned Medicare billing, Georgia enrollment
- 27 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 clinicians in this Medicare group
Hoopa, CA 95546
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Kima-W Medical Center
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEARSON, GA 31642
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 Acosta's NPI number?
The NPI number for Samara Acosta is 1205553112. It was assigned to this individual provider in the NPPES registry on October 21, 2022.
Where is Samara Acosta located?
Samara Acosta practices at 640 Main St N, Pearson, GA 31642. The listed phone number is (912) 544-4569.
What is Samara Acosta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samara Acosta enrolled in Medicare?
Yes. Samara Acosta 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.
Which organizations bill Medicare for Samara Acosta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samara Acosta reassigns Medicare benefits to 3 organizations: South Central Primary Care Center, Inc (Ocilla, GA), Community Care Health Network LLC (Nashville, TN) and K'ima:w Medical Center (Hoopa, CA). Each 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 Samara Acosta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samara Acosta was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Acosta · NPI 1205553112
Family physician in Pearson, Georgia. Individual provider, active in the CMS NPPES registry since October 21, 2022.
## Identity
- **NPI:** 1205553112 (Entity type: Individual)
- **Enumerated:** October 21, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN259547 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 640 MAIN ST N, Pearson, GA 31642-7549
- **Phone:** (912) 544-4569 · **Fax:** (229) 468-9169
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): South Central Primary Care Center, Inc (NPI 1891978854, Ocilla, GA); Community Care Health Network LLC (NPI 1619368842, Nashville, TN); K'ima:w Medical Center (NPI 1306904222, Hoopa, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1205553112) · Data from the CMS NPPES public registry.