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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZEEZAT ABISOLA SAMUEL PMHNP
NPI 1447961164
Nurse Practitioner - Psychiatric/Mental Health in Cumming, GA

Active since December 13, 2022PECOS Enrolled
5965 PARKWAY NORTH BLVD STE A, CUMMING, GA 30040(770) 886-5700 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2026, Aug 14, 2025, Dec 13, 2022 (3 updates tracked since 2022).

About Azeezat Abisola Samuel Pmhnp NPPES

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

AZEEZAT ABISOLA SAMUEL PMHNP (NPI 1447961164) is an individual psychiatric/mental health provider in Cumming, Georgia, licensed in Georgia (APRN-NP263096) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cumming, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447961164
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAZEEZAT ABISOLA SAMUELCredential: PMHNP
Location Address5965 PARKWAY NORTH BLVD STE ACumming, GA 30040-1431
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(770) 886-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 13, 2022
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1447961164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP263096
Also ListedRegistered NurseTaxonomy 163W00000X · License RN63096 (GA)
5965 PARKWAY NORTH BLVD STE A, Cumming, GA 30040
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Secondary Practice Location 1

Location 15965 Parkway North Blvd Ste CCumming, GA 30040-1431 · Phone (770) 886-5700 · Fax (770) 886-0404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

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

Azeezat Abisola Samuel Pmhnp 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 ID3072966654
PECOS Enrollment IDI20240131000314
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.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
99 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

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 Azeezat Samuel's NPI number?

The NPI number for Azeezat Samuel is 1447961164. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Azeezat Samuel located?

Azeezat Samuel practices at 5965 Parkway North Blvd Ste A, Cumming, GA 30040. The listed phone number is (770) 886-5700.

What is Azeezat Samuel's specialty?

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

Is Azeezat Samuel enrolled in Medicare?

Yes. Azeezat Samuel 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.

What insurance does Azeezat Samuel accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Azeezat Samuel 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 Azeezat Samuel was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.