SAMUEL J BERRY (NPI# 1124654140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124654140 |
| Entity Type | Individual |
| Full Name | SAMUEL J BERRY |
| Credential | RN |
| Practice Address |
1968 Peachtree Rd Nw Atlanta GA 30309-1281 |
| Mailing Address |
1376 N Decatur Rd Ne Atlanta GA 30306-2425 |
| Practice Telephone | 4046055000 |
| Mailing Telephone | 6785958156 |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
GA278178 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608225 | Samuel Berry | Emergency Medicine | 1001 S George St, York, PA 17403-3676 | 2019-06-13 |
| Street Address |
1968 PEACHTREE RD NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749164 | Jeanette Dorothy Cheng | Pathology | 1968 Peachtree Rd Nw, Department of Pathology, 4th Floor, Atlanta, GA 30309-1281 | 2005-06-09 |
| 1346840931 | Brittany Symone Davis | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-31 |
| 1033719182 | Leah Dickie Gray | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-28 |
| 1427658780 | Christina Courtney Paton | Registered Nurse | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-27 |
| 1285234625 | Jolene Outley | Registered Nurse | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-26 |
| 1477151462 | Allison Nicole Dauberger | Registered Nurse | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-13 |
| 1982202099 | Liliana I Aguilar-pagan | Student in an Organized Health Care Education/Training Program | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-12 |
| 1447866850 | Alexander Perkins Means | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-09-21 |
| 1922613439 | Amanda Marie Boyd | Physician Assistant | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-09-11 |
| 1689286635 | Julie Beasley Heriot | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853972 | Amber Monique Lockhart | Registered Nurse | 2413 Charleston Pointe Ct Se, Atlanta, GA 30316-3027 | 2017-11-05 |
| 1427598606 | Darrell Aloypuis Harps | Registered Nurse | 570 Piedmont Ave Ne Unit 54851, Atlanta, GA 30308-8710 | 2017-03-07 |
| 1356965255 | Richard Steven Menear | Registered Nurse | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-06-05 |
| 1629605183 | Evelyn Laduke | Registered Nurse | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-03-25 |
| 1194364174 | Ericka Cemone Frazier | Registered Nurse | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2019-12-23 |
| 1720625205 | Bianca Nieves Cervantez | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-12-04 |
| 1114563293 | Michaela Elizabeth Shea | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-11-22 |
| 1467007831 | Amanda Dearmond | Registered Nurse | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2019-08-02 |
| 1033763479 | Lauren R Lewis | Registered Nurse | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2019-07-24 |
| 1881159192 | Sylvia Diana Sajna | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-01-31 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.