DR. ANGELLA SAMUELS (DNP) – Nurse Practitioner, NPI 1043406069

DR. ANGELLA SAMUELS (DNP) is a healthcare provider. based in Snellville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. RN133706 (GA). The NPI Number for DR. ANGELLA SAMUELS (DNP) is 1043406069

Main info

Female
Sole Proprietor
19 Years Of Experience
Name
DR. ANGELLA SAMUELS (DNP)
NPI
1043406069
Phone
(770) 248-1637
Address
2795 MAIN ST W BLDG 21
Enumeration Date
24 September 2007
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784568463
Graduation Year
2007 (19 years ago)
PAC ID
4486732088
Group Practice PAC ID
2163667643
Professional Enrollment ID
I20080423000105
Address ID
GA300416239CU4415XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for DR. ANGELLA SAMUELS (DNP)

  • 2795 MAIN ST W BLDG 21

    NEW HORIZONS FAMILY CLINIC

    SNELLVILLE, GA 300783164

    Phone: (770) 248-1637

    Fax: (770) 248-1638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080423000105INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes24268$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes23469$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month21829$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month18928$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes8511$0
View full utilization report →

Insurance plans in this area (ZIP 30078)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163667643View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for DR. ANGELLA SAMUELS (DNP)?
Save NPI 1043406069 if you need a stable reference for DR. ANGELLA SAMUELS (DNP).
Is DR. ANGELLA SAMUELS (DNP) currently active in the NPI registry?
CMS-published data lists DR. ANGELLA SAMUELS (DNP) as an active registrant.
What field does DR. ANGELLA SAMUELS (DNP) work in?
You can think of DR. ANGELLA SAMUELS (DNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DR. ANGELLA SAMUELS (DNP)'s primary listing?
We display Snellville, Georgia because that is what the record indicates for DR. ANGELLA SAMUELS (DNP).
Is DR. ANGELLA SAMUELS (DNP) a real provider?
This page reflects official NPPES data for NPI 1043406069. Always confirm identity and privileges with the practice and licensing boards.

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