SAMANTHA AUSTIN (APRN) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1750169967

SAMANTHA AUSTIN (APRN) is a healthcare provider. based in Griffin, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN274958 (GA). The NPI Number for SAMANTHA AUSTIN (APRN) is 1750169967

Main info

Female
9 Years Of Experience
Name
SAMANTHA AUSTIN (APRN)
NPI
1750169967
Phone
(770) 467-9930
Address
3247 NEWNAN RD
Enumeration Date
19 September 2023
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704679930
Graduation Year
2017 (9 years ago)
PAC ID
8729427950
Group Practice PAC ID
7517997141
Professional Enrollment ID
I20240419002015
Address ID
GA302237114GR3247XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for SAMANTHA AUSTIN (APRN)

  • 3247 NEWNAN RD

    GRIFFIN, GA 302237114

    Phone: (770) 467-9930

    Mailing address matches the actual address.

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: 2024-04-19

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
I20240419002015INurse 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 30223)

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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: 7517997141View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do I look up SAMANTHA AUSTIN (APRN) by NPI?
Use NPI 1750169967 when you need to reference SAMANTHA AUSTIN (APRN) in forms, claims, or directories.
Does this profile mean SAMANTHA AUSTIN (APRN) is currently active?
Yes — SAMANTHA AUSTIN (APRN) appears active in the national provider directory.
What kind of provider is SAMANTHA AUSTIN (APRN)?
The page reflects Hospice and Palliative Medicine (Family Medicine) Physician for SAMANTHA AUSTIN (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMANTHA AUSTIN (APRN)?
The page summarizes Griffin, Georgia for SAMANTHA AUSTIN (APRN); expand the address list for detail.
How can I contact SAMANTHA AUSTIN (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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