SAMUEL ABDIAS LOUISSAINT
NPI 1225600745
Nurse Practitioner - Gerontology in Mcdonough, GA

Active since July 14, 2021PECOS EnrolledAccepts Medicare Assignment
821 PAVILION CT STE A, MCDONOUGH, GA 30253(770) 321-1773 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2024, May 4, 2024, Jul 14, 2021 (3 updates tracked since 2021).

About Samuel Abdias Louissaint NPPES

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

SAMUEL ABDIAS LOUISSAINT (NPI 1225600745) is an individual gerontology provider in Mcdonough, Georgia, licensed in Georgia (RN311141) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225600745
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameSAMUEL ABDIAS LOUISSAINT
Location Address821 PAVILION CT STE AMcdonough, GA 30253-6790
Mailing Address403 Paulownia CirMcdonough, GA 30253-3092 · (857) 236-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 14, 2021
Last NPPES UpdateDecember 29, 20243 updates tracked since enumeration
NPPES CertifiedDecember 29, 2024
✔ NPI 1225600745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · RN311141
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2324549 (MA)
821 PAVILION CT STE A, Mcdonough, GA 30253

Accepted Insurance

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

Samuel Abdias Louissaint 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.

PECOS PAC ID6406385210
PECOS Enrollment IDI20250320001675
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Louissaint reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2255 MONARCH DR
Naperville, IL 60563
  • Reassigned Medicare billing, Georgia, Kansas and Maine enrollments
  • 57 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia and Massachusetts enrollments
  • 488 clinicians in this Medicare group
Internal Medicine
68 DEAN ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 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 30253 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
821 PAVILION CT STE A
MCDONOUGH, GA 30253

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 Samuel Louissaint's NPI number?

The NPI number for Samuel Louissaint is 1225600745. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Samuel Louissaint located?

Samuel Louissaint practices at 821 Pavilion Ct Ste A, Mcdonough, GA 30253. The listed phone number is (770) 321-1773.

What is Samuel Louissaint's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Samuel Louissaint enrolled in Medicare?

Yes. Samuel Louissaint 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 Samuel Louissaint's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Louissaint reassigns Medicare benefits to 3 organizations: Post Acute Specialists, LLC (Naperville, IL), Signify Health Medical Associates, PLLC (Dallas, TX) and Post Acute Specialists Of Massachusetts PLLC (Taunton, MA). 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 Samuel Louissaint's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Louissaint accept?

Health plans from CareSource (Common Ground Healthcare) list Samuel Louissaint 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 Samuel Louissaint was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.