PEARL SAM PMHNP-BC
NPI 1245066737
Nurse Practitioner - Psychiatric/Mental Health in Marietta, GA

Active since September 11, 2024PECOS EnrolledAccepts Medicare Assignment
1758 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008(770) 429-5000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pearl Sam Pmhnp-bc NPPES

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

PEARL SAM PMHNP-BC (NPI 1245066737) is an individual psychiatric/mental health provider in Marietta, Georgia, licensed in Georgia (RN270125) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245066737
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePEARL SAMCredential: PMHNP-BC
Location Address1758 COUNTY SERVICES PKWY SWMarietta, GA 30008-4012
Mailing Address1915 Rainmill TrlBuford, GA 30518-4421 · (678) 548-3128
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
NPI 1245066737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN270125
1758 COUNTY SERVICES PKWY SW, Marietta, GA 30008

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pearl Sam Pmhnp-bc 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 ID7315472438
PECOS Enrollment IDI20241127000028
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 30008 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 10

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

Psychiatry & Neurology (Psychiatry)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Licensed Practical Nurse
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Nurse Practitioner (Psychiatric/Mental Health)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Counselor (Mental Health)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Counselor (Professional)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Counselor (Professional)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Nurse Practitioner (Family)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
Counselor (Professional)
1758 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008

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 Pearl Sam's NPI number?

The NPI number for Pearl Sam is 1245066737. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Pearl Sam located?

Pearl Sam practices at 1758 County Services Pkwy SW, Marietta, GA 30008. The listed phone number is (770) 429-5000.

What is Pearl Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Pearl Sam enrolled in Medicare?

Yes. Pearl Sam 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.

When was this NPI record last updated?

The NPPES record for Pearl Sam was last updated on September 11, 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.