DR. SAMUEL LEROY CHURCH (MD) – Family Medicine Physician, NPI 1053398149
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for DR. SAMUEL LEROY CHURCH (MD)
PO BOX 1217
HIAWASSEE, GA 305461217
Phone: (706) 896-0505
Fax: (866) 796-2502
Type: Mailing
85 SEASONS LANE
HIAWASSEE, GA 305463217
Phone: (706) 896-0505
Fax: (866) 796-2502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $733.
Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($188).
Total Amount
$733
General + Research + Ownership
Payments
35
Total payment records
General Amount
$733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $188 |
| Abbott Laboratories | $93 |
| Regeneron Healthcare Solutions, Inc. | $79 |
| Melinta Therapeutics, LLC | $71 |
| Lilly USA, LLC | $60 |
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: 2010-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080519000590 | I | Family Practice | NC | TBD |
| I20101110001252 | I | Family Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,340 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,597 | 540 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 1,084 | 514 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 564 | 324 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 464 | 464 | $0 |
Insurance plans in this area (ZIP 30546)
Loading plans...
Provider's Procedures
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.