SAMANTHA GRAHAM OTIS FNP-C
NPI 1922831593
Nurse Practitioner - Family in Augusta, GA
About Samantha Graham Otis Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA GRAHAM OTIS FNP-C (NPI 1922831593) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN260847) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Samantha Graham Otis Fnp-c 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 Reassignments
3Medicare enrollment records show Samantha Otis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30909
- Reassigned Medicare billing, Georgia enrollment
- 26 clinicians in this Medicare group
Evans, GA 30809
- Reassigned Medicare billing, Georgia enrollment
- 33 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Au Medical Center
Acute Care Hospitals · Augusta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Otis's NPI number?
The NPI number for Samantha Otis is 1922831593. It was assigned to this individual provider in the NPPES registry on August 20, 2024.
Where is Samantha Otis located?
Samantha Otis practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2273.
What is Samantha Otis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Otis enrolled in Medicare?
Yes. Samantha Otis 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 organizations bill Medicare for Samantha Otis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Otis reassigns Medicare benefits to 3 organizations: Urgent MD Healthcare Services, P.C. (Augusta, GA), Med Now Urgent Care, LLC (Evans, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each 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 Samantha Otis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Otis accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Samantha Otis 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.
Is Samantha Otis affiliated with any hospitals?
According to CMS data, Samantha Otis is affiliated with Au Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Otis was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samantha Graham Otis, FNP-C · NPI 1922831593
Family physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since August 20, 2024.
## Identity
- **NPI:** 1922831593 (Entity type: Individual)
- **Enumerated:** August 20, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN260847 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (706) 721-2273
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Urgent MD Healthcare Services, P.C. (NPI 1427586023, Augusta, GA); Med Now Urgent Care, LLC (NPI 1245475771, Evans, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922831593) · Data from the CMS NPPES public registry.