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SAMANTHA LEE ANN PRIVETT AGACNP
NPI 1497239461
Nurse Practitioner - Acute Care in Athens, GA

Active since September 17, 2018PECOS EnrolledAccepts Medicare Assignment
68.55/100
CMS Quality Rating
242 KING AVENUE, SUITE 210, ATHENS, GA 30606(706) 475-1700 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2025, Nov 9, 2020, Feb 21, 2020 and 2 more (5 updates tracked since 2018).

About Samantha Lee Ann Privett Agacnp NPPES

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

SAMANTHA LEE ANN PRIVETT AGACNP (NPI 1497239461) is an individual acute care provider in Athens, Georgia, licensed in Georgia (RN275926) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1497239461
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSAMANTHA LEE ANN PRIVETTCredential: AGACNP
Location Address242 KING AVENUE, SUITE 210Athens, GA 30606
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(706) 475-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 17, 2018
Last NPPES UpdateJanuary 2, 20255 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1497239461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN275926
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN275926 (GA)
242 KING AVENUE, SUITE 210, Athens, GA 30606
Open in Google Maps ↗

Secondary Practice Location 1

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 534-2020 · Fax (770) 534-8025

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

Samantha Lee Ann Privett Agacnp 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 ID3375887953
PECOS Enrollment IDI20181208000402
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
159 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
96 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.15
Promoting Interoperability76
Improvement Activities40
Cost52.03

Other Providers at the Same Location NPPES 3

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

LAUREN GRUENDLING DNP
Nurse Practitioner
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Clarke County (706) 475-1700
ANTONIO SOTOLONGO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Clarke County (706) 475-1700
CONNIE T WATTS AGACNP
Nurse Practitioner
242 KING AVENUE, SUITE 210
ATHENS, GA 30606
Clarke County (706) 475-1700

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 Privett's NPI number?

The NPI number for Samantha Privett is 1497239461. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Samantha Privett located?

Samantha Privett practices at 242 King Avenue, Suite 210, Athens, GA 30606. The listed phone number is (706) 475-1700.

What is Samantha Privett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Samantha Privett enrolled in Medicare?

Yes. Samantha Privett 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 Privett affiliated with any hospitals?

According to CMS data, Samantha Privett is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Samantha Privett was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.