SHERLEY C SAMUELS (NPI# 1770873929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770873929 |
| Entity Type | Individual |
| Full Name | SHERLEY C SAMUELS |
| Other Name | SHERLEY CHARLES |
| Credential | M.D. |
| Practice Address |
4181 Hospital Dr Ne Suite 104 Covington GA 30014-2541 |
| Practice Telephone | 7703858954 |
| Practice Fax Number | 7703858590 |
| Mailing Telephone | 7703858954 |
| Mailing Fax Number | 7703858590 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 73811 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4181 HOSPITAL DR NE SUITE 104 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694388 | Steven R Whitworth | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2005-07-26 |
| 1700394889 | Rhonda Ann Cook | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-3001 | 2018-01-11 |
| 1902353170 | Ashley Nichole Spears | Specialist/Technologist, Other | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2016-09-06 |
| 1124494588 | Hannah Addis | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2015-08-19 |
| 1396152302 | Lana Earley | Specialist/Technologist | 4181 Hospital Dr Ne, Suite 204, Covington, GA 30014-2541 | 2014-07-22 |
| 1588922306 | Georgia Orthopedics and Sports Medicine,llc | Orthopaedic Surgery | 4181 Hospital Dr Ne, Covington, GA 30014-2541 | 2012-04-30 |
| 1467727263 | Julie Buff Walter | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2012-03-13 |
| 1225329147 | Michelle Denise White | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite104, Covington, GA 30014-2541 | 2011-04-26 |
| 1962713537 | Pavilion Surgical Associates, LLC | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2010-06-29 |
| 1043481682 | Newton Health System, Inc. | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2008-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750768040 | Gianna Center of The Gulf South | Obstetrics & Gynecology | 71380 La Hwy 21, Suite 101, Covington, LA 70433 | 2015-05-06 |
| 1912271644 | Jiunn H. Ho, M.d. PC | Obstetrics & Gynecology | 1995 Highway 51 S Ste 201, Covington, TN 38019-3655 | 2012-02-27 |
| 1891082988 | Newton Health System Inc Dba Premier Obstetrics and Gynecology | Obstetrics & Gynecology | 10155 Eagle Dr, Suite 100, Covington, GA 30014-3804 | 2011-07-08 |
| 1447487061 | Billy James Taylor | Obstetrics & Gynecology | 1995 Highway 51 S Ste 112, Covington, TN 38019-3654 | 2009-06-22 |
| 1417124736 | Jill Gibson | Obstetrics & Gynecology | 106 Highland Park Plz B2, Covington, LA 70433-7116 | 2008-05-15 |
| 1558535708 | Jessica Ann Rinaldo | Obstetrics & Gynecology | 106 Highland Park Plz, Covington, LA 70433 | 2008-04-18 |
| 1649461534 | Zsakeba Henderson | Obstetrics & Gynecology | 25 Providence Dr, Covington, GA 30016-9085 | 2007-08-06 |
| 1396935144 | Rachael S Cresap | Obstetrics & Gynecology | 104 Innwood Dr, Covington, LA 70433-9123 | 2007-07-27 |
| 1255499844 | Craig M Landwehr | Obstetrics & Gynecology | 71380 Highway 21, Suite 101, Covington, LA 70433 | 2006-12-05 |
| 1730256439 | Joseph Owen Kuebel IIi | Obstetrics & Gynecology | 1203 S Tyler St Ste 210, Covington, LA 70433-2353 | 2006-11-29 |
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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.