ELIZABETH SAM (NPI# 1154828366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154828366 |
| Entity Type | Individual |
| Full Name | ELIZABETH SAM |
| Practice Address |
4025 Lawrenceville Hwy Nw Lilburn GA 30047-3013 |
| Mailing Address |
421 E Fork Shady Dr Nw Lilburn GA 30047-2693 |
| Practice Telephone | 7705593501 |
| Mailing Telephone | 4234146926 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F01180587 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798590 | Elizabeth Sam | Nurse Practitioner | 18275 N 59th Ave, #138, Glendale, AZ 85308-1260 | 2017-02-09 |
| 1235533910 | Elizabeth Sam | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-10-09 |
| Street Address |
4025 LAWRENCEVILLE HWY NW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316138209 | Barbara Little | Clinical Nurse Specialist | 4025 Lawrenceville Hwy Nw, Suite A, Lilburn, GA 30047-2819 | 2007-08-06 |
| 1093331886 | Sanya Nijhara | Physician Assistant | 4025 Lawrenceville Hwy Nw, Lilburn, GA 30047-3013 | 2020-06-17 |
| 1508417361 | Joslin John | Family Medicine | 4025 Lawrenceville Hwy Nw, Lilburn, GA 30047-3013 | 2019-09-24 |
| 1104381102 | Laila Nurani Kutan | Nurse Practitioner | 4025 Lawrenceville Hwy Nw, Lilburn, GA 30047-3013 | 2019-02-04 |
| 1063771319 | Grace Hoang-oanh Nguyen | Pediatrics | 4025 Lawrenceville Hwy Nw, Suite B, Lilburn, GA 30047-3013 | 2012-05-07 |
| 1760622096 | Aziz A Pirani | Family Medicine | 4025 Lawrenceville Hwy Nw, Suite A, Lilburn, GA 30047-2819 | 2009-02-26 |
| 1871731828 | Lilburn Pediatrics | Pediatrics | 4025 Lawrenceville Hwy Nw, Suite B, Lilburn, GA 30047-2819 | 2009-01-29 |
| 1093950545 | Abosede A Oshinubi | Nutritionist | 4025 Lawrenceville Hwy Nw, Suite A, Lilburn, GA 30047-2819 | 2008-12-12 |
| 1679769582 | New Community Horizon, Inc | Family Medicine | 4025 Lawrenceville Hwy Nw, Suite A, Lilburn, GA 30047-2819 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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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.