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NDOUMBANE SAMB
NPI 1528672771
Nurse Practitioner - Family in Atlanta, GA

Active since September 04, 2020PECOS EnrolledAccepts Medicare Assignment
85.31/100
CMS Quality Rating
5669 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342(404) 542-9996 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ndoumbane Samb NPPES

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

NDOUMBANE SAMB (NPI 1528672771) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN169005) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528672771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNDOUMBANE SAMB
Location Address5669 PEACHTREE DUNWOODY RDAtlanta, GA 30342-1786
Mailing Address5669 Peachtree Dunwoody RdAtlanta, GA 30342-1786 · (404) 542-9996
Phone(404) 542-9996
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1528672771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN169005
5669 PEACHTREE DUNWOODY RD, Atlanta, GA 30342
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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 and accepts Medicare assignment

Ndoumbane Samb 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 ID4183037864
PECOS Enrollment IDI20210120000609
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.

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

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.

85.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.72
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

METRO ATLANTA GASTROENTEROLOGY, LLC
Internal Medicine (Gastroenterology)
5669 PEACHTREE DUNWOODY RD, SUITE 210
ATLANTA, GA 30342
Fulton County (404) 255-4333
DR. BARRY J. MCCASLAND M.D.
Psychiatry & Neurology (Neurology)
5669 PEACHTREE DUNWOODY RD, STE 275
ATLANTA, GA 30342
Fulton County (404) 531-0334
MRS. MARCIA L LEWIS RN
Registered Nurse (Medical-Surgical)
5669 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (404) 252-8377
MARK J. MITTENTHAL MD
Surgery (Vascular Surgery)
5669 PEACHTREE DUNWOODY RD, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 256-0404

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 Ndoumbane Samb's NPI number?

The NPI number for Ndoumbane Samb is 1528672771. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Ndoumbane Samb located?

Ndoumbane Samb practices at 5669 Peachtree Dunwoody Rd, Atlanta, GA 30342. The listed phone number is (404) 542-9996.

What is Ndoumbane Samb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ndoumbane Samb enrolled in Medicare?

Yes. Ndoumbane Samb 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 Ndoumbane Samb affiliated with any hospitals?

According to CMS data, Ndoumbane Samb is affiliated with Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Ndoumbane Samb was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.