SHABNAM SAMSUDDIN CRNA
NPI 1326591397
Nurse Anesthetist, Certified Registered in Atlanta, GA

Active since July 26, 2016
1100 JOHNSON FERRY RD, BLDG 2, UNIT 593, ATLANTA, GA 30342(404) 255-9096 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Mar 31, 2021, Nov 8, 2016 (3 updates tracked since 2016).

About Shabnam Samsuddin Crna NPPES

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

SHABNAM SAMSUDDIN CRNA (NPI 1326591397) is an individual nurse anesthetist, certified registered in Atlanta, Georgia, licensed in Georgia (RN226046) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1326591397
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHABNAM SAMSUDDINCredential: CRNA
Location Address1100 JOHNSON FERRY RD, BLDG 2, UNIT 593Atlanta, GA 30342-1733
Mailing Address845 Constellation DrDecatur, GA 30033-2814 · (404) 642-5728
Sole ProprietorNo
Enumeration DateJuly 26, 2016
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1326591397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN226046
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1100 JOHNSON FERRY RD, Atlanta, GA 30342

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shabnam Samsuddin Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

10

Medicare enrollment records show Shabnam Samsuddin reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1201 W PEACHTREE ST NW STE 2300
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Anesthesiology
2171 WEST PARK COURT, SUITE A
Stone Mountain, GA 30087
  • Reassigned Medicare billing, Georgia enrollment
  • 650 clinicians in this Medicare group
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1955 TEXTILE WAY
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 489 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2324 LIMESTONE OVERLOOK STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
Anesthesiology
1139 LEXINGTON AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 468 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Georgia enrollment
  • 386 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
39 services39 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services11 patients

Other Providers at the Same Location NPPES 20

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

Surgery
1100 JOHNSON FERRY RD, BUILDING II SUITE 470
SANDY SPRINGS, GA 30342
Social Worker (Clinical)
1100 JOHNSON FERRY RD, SUITE 600
SANDY SPRINGS, GA 30342
Pharmacy (Community/Retail Pharmacy)
1100 JOHNSON FERRY RD, STE 107
ATLANTA, GA 30342
Obstetrics & Gynecology
1100 JOHNSON FERRY RD, SUITE 800
ATLANTA, GA 30342
Optometrist
1100 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Obstetrics & Gynecology
1100 JOHNSON FERRY RD, SUITE 800
ATLANTA, GA 30342
Advanced Practice Midwife
1100 JOHNSON FERRY RD, SUITE 800
ATLANTA, GA 30342
Psychologist (Clinical)
1100 JOHNSON FERRY RD, STE. 230
ATLANTA, GA 30342

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 Shabnam Samsuddin's NPI number?

The NPI number for Shabnam Samsuddin is 1326591397. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Shabnam Samsuddin located?

Shabnam Samsuddin practices at 1100 Johnson Ferry Rd Bldg 2, Unit 593, Atlanta, GA 30342. The listed phone number is (404) 255-9096.

What is Shabnam Samsuddin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shabnam Samsuddin enrolled in Medicare?

Yes. Shabnam Samsuddin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shabnam Samsuddin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Samsuddin reassigns Medicare benefits to 10 organizations: Radius Anesthesia Of Georgia LLC (Atlanta, GA), Grady Memorial Hospital Corporation (Atlanta, GA), American Anesthesiology Associates Of Georgia, LLC (Stone Mountain, GA), Piedmont Anesthesia LLC (Stockbridge, GA), Sentry Anesthesia Management, LLC (Newnan, GA) and 5 more organizations, listed in the Medicare section above. 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 Shabnam Samsuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shabnam Samsuddin accept?

Health plans from Oscar Health and Oscar Insurance Company list Shabnam Samsuddin 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 Shabnam Samsuddin was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.