SAMUEL SPENCE MCCACHREN III
NPI 1356866123
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since August 14, 2017PECOS Enrolled

1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Spence Mccachren Iii NPPES

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

SAMUEL SPENCE MCCACHREN III (NPI 1356866123) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356866123

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL SPENCE MCCACHREN III

Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059

Mailing Address100 Woodruff Cir Ne Ste P375Atlanta, GA 30322-1020 · (404) 727-5655 · Fax (404) 727-0045

Phone(404) 712-2000

Sole ProprietorNo

Enumeration DateAugust 14, 2017

✔ NPI 1356866123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1364 CLIFTON RD NE, Atlanta, GA 30322

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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 Spence Mccachren Iii 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.