DR. MARY SAMS (MD) – Internal Medicine Physician, NPI 1053443275
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for DR. MARY SAMS (MD)
875 JOHNSON FY RD NE
SUITE 200
ATLANTA, GA 303421418
Phone: (404) 497-1020
Fax: (404) 252-4030
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)
CMS reports 83 Open Payments records for all available years, with a total value of $1,698.
Total Amount is formed as General ($1,698) + Research ($0) + Ownership ($0) = $1,698.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Amgen Inc. ($460).
Total Amount
$1,698
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,698
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $460 |
| Novo Nordisk Inc | $221 |
| ABBVIE INC. | $166 |
| UCB, Inc. | $105 |
| Mallinckrodt Hospital Products Inc. | $95 |
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: 2005-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050113000247 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 563 | 368 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 156 | 156 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 138 | 138 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 138 | 138 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 89 | $0 |
Insurance plans in this area (ZIP 30342)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Endocrinology | GA | |
| - | GA | |
| - | NV | |
| N E U R O L O G Y | TX | |
| - | GA |
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