SAMANTHA STODDARD – Nurse Practitioner, NPI 1811938111

SAMANTHA STODDARD is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN102555 (GA). The NPI Number for SAMANTHA STODDARD is 1811938111

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA STODDARD
NPI
1811938111
Phone
(470) 271-3418
Address
2727 PACES FERRY RD SE STE 1-100
Enumeration Date
9 June 2006
Last Update Date
22 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705075055
Graduation Year
2003 (23 years ago)
PAC ID
6103726898
Group Practice PAC ID
9830082825
Professional Enrollment ID
I20040109000864
Address ID
GA302815173ST1240XPKWY404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for SAMANTHA STODDARD

  • 2727 PACES FERRY RD SE STE 1-100

    ATLANTA, GA 303396150

    Phone: (470) 271-3418

    Type: Mailing

  • Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302815173

    Phone: (770) 507-5055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($83).

Total Amount

$142

General + Research + Ownership

Payments

6

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2004-01-09

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
I20040109000864INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes389370$0
99214Established patient office or other outpatient visit, 30-39 minutes5553$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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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: 9830082825View full group profile
NameSpecialtyState
General SurgeryGA
Nurse PractitionerGA
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineGA
-GA
Nurse PractitionerGA
-GA
General SurgeryGA
Surgical OncologyWA
R H E U M A T O L O G YGA
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric MedicineGA

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA STODDARD?
The registry entry for SAMANTHA STODDARD shows NPI 1811938111.
Does the public listing show SAMANTHA STODDARD as active?
SAMANTHA STODDARD's NPI record reflects an active status in NPPES.
What services align with SAMANTHA STODDARD's listing?
SAMANTHA STODDARD's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMANTHA STODDARD tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, SAMANTHA STODDARD may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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