DR. SAMANTHA RAE BEAUCHAMP DO
NPI 1487357109
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-1200 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha Rae Beauchamp Do NPPES

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

DR. SAMANTHA RAE BEAUCHAMP DO (NPI 1487357109) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2023).

NPPES Registry Identity

NPI1487357109
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMANTHA RAE BEAUCHAMPCredential: DO
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2023
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1487357109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
743 SPRING ST NE, Gainesville, GA 30501

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

Dr. Samantha Rae Beauchamp Do 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 ID1456710334
PECOS Enrollment IDI20251126003288
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

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.

Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501

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 Samantha Beauchamp's NPI number?

The NPI number for Samantha Beauchamp is 1487357109. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Samantha Beauchamp located?

Samantha Beauchamp practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-1200.

What is Samantha Beauchamp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Beauchamp enrolled in Medicare?

Yes. Samantha Beauchamp 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.

Is Samantha Beauchamp affiliated with any hospitals?

According to CMS data, Samantha Beauchamp is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Samantha Beauchamp was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.