SAMANTHA PATRICE DAY (PMHNP) – Adult Health Nurse Practitioner, NPI 1649646431

SAMANTHA PATRICE DAY (PMHNP) is a healthcare provider. based in Johns creek, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN162261 (GA). The NPI Number for SAMANTHA PATRICE DAY (PMHNP) is 1649646431

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA PATRICE DAY (PMHNP)
NPI
1649646431
Phone
(470) 482-6508
Address
10090 MEDLOCK BRIDGE RD STE 110
Enumeration Date
14 August 2015
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4704826508
Graduation Year
2022 (4 years ago)
PAC ID
6800174020
Group Practice PAC ID
5092611384
Professional Enrollment ID
I20161024000142
Address ID
GA300974428JO10090RDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for SAMANTHA PATRICE DAY (PMHNP)

  • 10090 MEDLOCK BRIDGE RD STE 110

    JOHNS CREEK, GA 300974428

    Phone: (470) 482-6508

    Fax: (770) 476-9750

    Type: Location

  • 180 HILTON AVE

    APT D2

    HEMPSTEAD, NY 115508101

    Phone:

    Type: Mailing

  • 4155 VISTA POINT LN

    SUWANEE, GA 300243823

    Phone: (516) 236-8818

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Corium, LLC ($181).

Total Amount

$352

General + Research + Ownership

Payments

10

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-15

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: 2016-10-24

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
I20161024000142INurse 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 30097)

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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: 5092611384View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SAMANTHA PATRICE DAY (PMHNP) in U.S. healthcare records?
The official identifier for SAMANTHA PATRICE DAY (PMHNP) is NPI 1649646431.
Active or inactive — what applies to SAMANTHA PATRICE DAY (PMHNP)?
You should see SAMANTHA PATRICE DAY (PMHNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for SAMANTHA PATRICE DAY (PMHNP)?
At a glance, SAMANTHA PATRICE DAY (PMHNP) is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with SAMANTHA PATRICE DAY (PMHNP)?
Directory geography for SAMANTHA PATRICE DAY (PMHNP) centers on Johns Creek, Georgia.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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