MR. SAMSON EBHO OSEBOR NP
NPI 1578298907
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA
About Mr. Samson Ebho Osebor Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMSON EBHO OSEBOR NP (NPI 1578298907) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (710455) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Samson Ebho Osebor Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Samson Osebor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waltham, MA 02451
- Reassigned Medicare billing, Massachusetts enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Samson Osebor's NPI number?
The NPI number for Samson Osebor is 1578298907. It was assigned to this individual provider in the NPPES registry on July 20, 2022.
Where is Samson Osebor located?
Samson Osebor practices at 615 Lawrenceville Suwanee Rd, Lawrenceville, GA 30046. The listed phone number is (678) 209-2411.
What is Samson Osebor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samson Osebor enrolled in Medicare?
Yes. Samson Osebor 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.
Which organization bills Medicare for Samson Osebor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samson Osebor reassigns Medicare benefits to Alliance Wellcare PLLC (Waltham, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samson Osebor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samson Osebor accept?
Health plans from Harvard Pilgrim Health Care and Taro Health list Samson Osebor 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 Samson Osebor was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.
# Mr. Samson Ebho Osebor, NP · NPI 1578298907
Psychiatric/Mental Health physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since July 20, 2022.
## Identity
- **NPI:** 1578298907 (Entity type: Individual)
- **Enumerated:** July 20, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 710455 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 LAWRENCEVILLE SUWANEE RD, Lawrenceville, GA 30046-4325
- **Phone:** (678) 209-2411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alliance Wellcare PLLC (NPI 1790526986, Waltham, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 3, 2026
- **Other identifiers:** Other S92075712 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578298907) · Data from the CMS NPPES public registry.