MISS TSEDAY SAMUEL (ACNP-C) – Acute Care Nurse Practitioner, NPI 1528132636
Acute Care Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MISS TSEDAY SAMUEL (ACNP-C)
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 534-2020
Type: Location
631 Professional Dr
Ste 360
Lawrenceville, GA 300463367
Phone: (770) 962-4895
Fax: (770) 962-4792
Type: Location
1700 TREE LN STE 190
SNELLVILLE, GA 300786766
Phone: (770) 736-6300
Type: Location
631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States
STE 360
LAWRENCEVILLE, GA 300463367
Phone: (770) 962-4895
Fax: (770) 962-4792
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $2,269.
Total Amount is formed as General ($2,269) + Research ($0) + Ownership ($0) = $2,269.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($736).
Total Amount
$2,269
General + Research + Ownership
Payments
38
Total payment records
General Amount
$2,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1045 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20050719001124 | I | Nurse Practitioner | GA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | OH | |
| Nurse Practitioner | GA | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA |
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