SAMANTHA MARIE KANUCK (PA-C) – Physician Assistant, NPI 1053803387
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for SAMANTHA MARIE KANUCK (PA-C)
960 JOHNSON FY RD NE STE 200
ATLANTA, GA 303421601
Phone: (404) 943-0900
Fax: (404) 943-1390
Type: Mailing
927 45TH ST STE 101
MANGONIA PARK, FL 334072450
Phone: (561) 848-5579
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $639.
Total Amount is formed as General ($639) + Research ($0) + Ownership ($0) = $639.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($303).
Total Amount
$639
General + Research + Ownership
Payments
26
Total payment records
General Amount
$639
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $303 |
| GlaxoSmithKline, LLC. | $125 |
| Optinose US, Inc. | $70 |
| GENZYME CORPORATION | $38 |
| Phadia US Inc. | $27 |
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: 2021-08-06
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 |
|---|---|---|---|---|
| I20210806001882 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 432 | 329 | $0 |
| 69210 | Removal of impacted ear wax | 385 | 318 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 301 | 237 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 224 | 178 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 152 | 108 | $0 |
Insurance plans in this area (ZIP 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Physician Assistant | WI | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| Physician Assistant | FL | |
| O T O L A R Y N G O L O G Y | FL |
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