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

Active since July 14, 2021PECOS Enrolled
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: August 02, 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.

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
Phone(770) 321-1773
Sole ProprietorNo
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Abdias Louissaint 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 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.

SNS HEALTH AND WELLNESS CENTER
Physiological Laboratory
821 PAVILION CT STE A
MCDONOUGH, GA 30253
Henry County (781) 290-5836

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 enrollment system.

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 19 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.