SAMANTHA LEE – Anesthesiologist Assistant, NPI 1801560453

SAMANTHA LEE is a healthcare provider. based in Atlanta, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. The NPI Number for SAMANTHA LEE is 1801560453

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LEE
NPI
1801560453
Phone
(404) 616-1000
Address
80 JESSE HILL JR DR SE
Enumeration Date
6 August 2021
Last Update Date
6 August 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8002421131
Graduation Year
2021 (5 years ago)
PAC ID
2163810284
Group Practice PAC ID
2163837972
Professional Enrollment ID
I20211022000497
Address ID
GA302815085ST1133XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for SAMANTHA LEE

  • 80 JESSE HILL JR DR SE

    ATLANTA, GA 303033031

    Phone: (404) 616-1000

    Type: Location

  • 4059 YELLOW GINGER GLN

    NORCROSS, GA 300925149

    Phone: (678) 267-4680

    Type: Mailing

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: 2021-10-22

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
I20211022000497IAnesthesiology AssistantGATBD

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 30303)

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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: 2163837972View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantAL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

How do I look up SAMANTHA LEE by NPI?
Use NPI 1801560453 when you need to reference SAMANTHA LEE in forms, claims, or directories.
Is SAMANTHA LEE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SAMANTHA LEE treat or focus on?
Patients typically see SAMANTHA LEE under the specialty Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where is SAMANTHA LEE's primary listing?
We display Atlanta, Georgia because that is what the record indicates for SAMANTHA LEE.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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