SAMUEL K PRIDE – Clinical Social Worker, NPI 1316124928

SAMUEL K PRIDE is a healthcare provider. based in Newton, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CSW002428 (GA). The NPI Number for SAMUEL K PRIDE is 1316124928

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL K PRIDE
NPI
1316124928
Phone
(229) 224-4883
Address
PO BOX 819
Enumeration Date
25 January 2008
Last Update Date
25 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706641920
Graduation Year
1983 (43 years ago)
PAC ID
8022377811
Group Practice PAC ID
2163561259
Professional Enrollment ID
I20180124002876
Address ID
GA300765826RO401XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

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Provider Addresses for SAMUEL K PRIDE

  • PO BOX 819

    NEWTON, GA 398700819

    Phone: (229) 224-4883

    Type: Mailing

  • 1102, Smith Avenue, McLoughlin Heights, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317925739

    Phone: (229) 225-4335

    Fax: (229) 225-4374

    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: 2018-01-24

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
I20180124002876IClinical Social WorkerGATBD

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 39870)

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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: 2163561259View full group profile
NameSpecialtyState
Mental Health CounselorOK
Nurse PractitionerGA
Clinical Social WorkerCA
Mental Health CounselorGA
-NC
Clinical Social WorkerGA
Nurse PractitionerGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference SAMUEL K PRIDE?
For SAMUEL K PRIDE, use NPI 1316124928 as the unique 10-digit identifier.
Would SAMUEL K PRIDE appear as active to a payer?
You can treat SAMUEL K PRIDE as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SAMUEL K PRIDE?
SAMUEL K PRIDE's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is SAMUEL K PRIDE located near Newton?
SAMUEL K PRIDE currently maps to Newton, Georgia in this extract.
Does SAMUEL K PRIDE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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