SAMANTHA O'BRIEN (PA-C) – Physician Assistant, NPI 1144965815
Physician Assistant
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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 O'BRIEN (PA-C)
5655 Atlanta Hwy Ste A
Alpharetta, GA 300045208
Phone: (770) 343-6364
Fax: (770) 343-6368
Type: Location
810 WINTERS PARK DR
ATLANTA, GA 303603210
Phone:
Type: Mailing
4327 HUGH HOWELL RD
TUCKER, GA 300844739
Phone: (678) 800-1279
Type: Location
2720 QUIKTRIP WAY
ELLENWOOD, GA 30294
Phone:
Type: Mailing
2130 NORTHWEST PKWY SE STE G
MARIETTA, GA 300679307
Phone: (678) 396-4597
Fax: (877) 669-0367
Type: Location
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: 2022-07-15
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 |
|---|---|---|---|---|
| I20220715001261 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 130 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 100 | 48 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 98 | 91 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 96 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 50 | $0 |
Insurance plans in this area (ZIP 30004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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