SAMANTHA BROOKE LEDBETTER FNP
NPI 1841794757
Nurse Practitioner - Family in Dacula, GA

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
3575 BRASELTON HWY, DACULA, GA 30019(770) 848-5300(770) 848-5301 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2021, Aug 3, 2018, Mar 23, 2018 (3 updates tracked since 2018).

About Samantha Brooke Ledbetter Fnp NPPES

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

SAMANTHA BROOKE LEDBETTER FNP (NPI 1841794757) is an individual family provider in Dacula, Georgia, licensed in Georgia (RN230690) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1841794757
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA BROOKE LEDBETTERCredential: FNP
Location Address3575 BRASELTON HWYDacula, GA 30019
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Fax(770) 848-5301
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1841794757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN230690
Also ListedInternal MedicineTaxonomy 207R00000X · License RN230690 (GA)
3575 BRASELTON HWY, Dacula, GA 30019

Other Identifiers 1

MedicaidRN230690GA

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 Brooke Ledbetter Fnp 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 ID8527311729
PECOS Enrollment IDI20181105000652
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
245 services148 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
216 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
192 services157 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30019 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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
3575 BRASELTON HWY
DACULA, GA 30019
Social Worker (Clinical)
3575 BRASELTON HWY
DACULA, GA 30019
Internal Medicine
3575 BRASELTON HWY
DACULA, GA 30019
Family Medicine
3575 BRASELTON HWY
DACULA, GA 30019
Family Medicine
3575 BRASELTON HWY
DACULA, GA 30019
Family Medicine
3575 BRASELTON HWY
DACULA, GA 30019
Family Medicine (Sports Medicine)
3575 BRASELTON HWY
DACULA, GA 30019

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 Ledbetter's NPI number?

The NPI number for Samantha Ledbetter is 1841794757. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Samantha Ledbetter located?

Samantha Ledbetter practices at 3575 Braselton Hwy, Dacula, GA 30019. The listed phone number is (770) 848-5300.

What is Samantha Ledbetter's specialty?

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

Is Samantha Ledbetter enrolled in Medicare?

Yes. Samantha Ledbetter 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 Ledbetter affiliated with any hospitals?

According to CMS data, Samantha Ledbetter is affiliated with Northeast Georgia Medical Center, Inc and Ngmc Barrow, LLC.

When was this NPI record last updated?

The NPPES record for Samantha Ledbetter was last updated on June 11, 2021. 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.