SAMANTHA MARIE HYDES (APRN, FNP-BC) – Family Nurse Practitioner, NPI 1114426806

SAMANTHA MARIE HYDES (APRN, FNP-BC) is a healthcare provider. based in Decatur, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials APRN, FNP-BC. They hold a License No. RN262052 (GA). The NPI Number for SAMANTHA MARIE HYDES (APRN, FNP-BC) is 1114426806

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MARIE HYDES (APRN, FNP-BC)
NPI
1114426806
Phone
(404) 589-9040
Address
523 Church St
Enumeration Date
7 February 2018
Last Update Date
1 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4045899040
Graduation Year
2017 (9 years ago)
PAC ID
8022342237
Group Practice PAC ID
5496721987
Professional Enrollment ID
I20190621001318
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for SAMANTHA MARIE HYDES (APRN, FNP-BC)

  • 523 Church St

    Decatur, GA 300302515

    Phone: (404) 589-9040

    Type: Location

  • 3350 BRECKINRIDGE BLVD STE 200

    DULUTH, GA 300964959

    Phone: (678) 990-6422

    Type: Location

  • Briarcliff Road Northeast, Villa Park, Druid Hills, DeKalb County, Georgia, 30345, United States

    ATLANTA, GA 303062661

    Phone: (954) 562-7332

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($150).

Total Amount

$265

General + Research + Ownership

Payments

2

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-21

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
I20190621001318INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30030)

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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: 5496721987View full group profile
NameSpecialtyState
Nurse PractitionerGA
Certified Clinical Nurse Specialist (Cns)GA
Mental Health CounselorGA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorGA
Nurse PractitionerGA
-GA
Family PracticeNC
-GA

Reviews

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Frequently asked questions

How do I look up SAMANTHA MARIE HYDES (APRN, FNP-BC) by NPI?
Use NPI 1114426806 when you need to reference SAMANTHA MARIE HYDES (APRN, FNP-BC) in forms, claims, or directories.
Is SAMANTHA MARIE HYDES (APRN, FNP-BC) active in the national directory?
SAMANTHA MARIE HYDES (APRN, FNP-BC)'s public NPI profile is in an active state.
What does SAMANTHA MARIE HYDES (APRN, FNP-BC) treat or focus on?
Patients typically see SAMANTHA MARIE HYDES (APRN, FNP-BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SAMANTHA MARIE HYDES (APRN, FNP-BC)?
The snapshot lists Decatur, Georgia for SAMANTHA MARIE HYDES (APRN, FNP-BC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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