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DR. CHERYL MARLEISE SAMUEL
NPI 1588273692
Nurse Practitioner in Tucker, GA

Active since July 24, 2020PECOS Enrolled
4500 HUGH HOWELL RD STE 640, TUCKER, GA 30084(470) 569-5943(470) 359-4126 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Jul 24, 2020 (2 updates tracked since 2020).

About Dr. Cheryl Marleise Samuel NPPES

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

DR. CHERYL MARLEISE SAMUEL (NPI 1588273692) is an individual nurse practitioner in Tucker, Georgia, licensed in Georgia (134443) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588273692
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. CHERYL MARLEISE SAMUEL
Location Address4500 HUGH HOWELL RD STE 640Tucker, GA 30084-4720
Mailing AddressPo Box 2648Tucker, GA 30085-2648 · (404) 784-2090 · Fax (470) 359-4126
Phone(470) 569-5943
Fax(470) 359-4126
Sole ProprietorNo
Enumeration DateJuly 24, 2020
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1588273692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 134443
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4500 HUGH HOWELL RD STE 640, Tucker, GA 30084
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11041 Talbotton RdColumbus, GA 31904-8745 · Phone (706) 660-8825 · Fax (706) 660-8897
Location 2130 Medical Way Ste BStockbridge, GA 30281-9088 · Phone (678) 759-0059 · Fax (678) 623-8054

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cheryl Marleise Samuel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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.

Other Providers at the Same Location NPPES

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

CAPSULE PAIN AND WELLNESS CENTER PC
Clinic/Center (Primary Care)
4500 HUGH HOWELL RD STE 640
TUCKER, GA 30084
Dekalb County (470) 569-5943

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 Cheryl Samuel's NPI number?

The NPI number for Cheryl Samuel is 1588273692. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Cheryl Samuel located?

Cheryl Samuel practices at 4500 Hugh Howell Rd Ste 640, Tucker, GA 30084. The listed phone number is (470) 569-5943.

What is Cheryl Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cheryl Samuel enrolled in Medicare?

Yes. Cheryl Samuel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cheryl Samuel was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.