ELIZABETH SAM – Primary Care Nurse Practitioner, NPI 1154828366

ELIZABETH SAM is a healthcare provider. based in Lilburn, Georgia. specializing in Primary Care Nurse Practitioner. They hold a License No. F01180587 (GA). The NPI Number for ELIZABETH SAM is 1154828366

Main info

Female
Name
ELIZABETH SAM
NPI
1154828366
Phone
(423) 414-6926
Address
421 E FORK SHADY DR NW
Enumeration Date
12 April 2018
Last Update Date
6 October 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for ELIZABETH SAM

  • Shady Drive Northwest, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States

    LILBURN, GA 300472693

    Phone: (423) 414-6926

    Type: Mailing

  • 4025, Lawrenceville Highway, Luxomni, Lilburn, Gwinnett County, Georgia, 30052, United States

    LILBURN, GA 300473013

    Phone: (770) 559-3501

    Type: Location

  • 1328 AVINGTON GLEN DR

    LAWRENCEVILLE, GA 300453500

    Phone: (423) 414-6926

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30047)

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Reviews

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Frequently asked questions

What federal number belongs to ELIZABETH SAM?
The federal identifier for ELIZABETH SAM is NPI 1154828366.
Is ELIZABETH SAM currently active in the NPI registry?
CMS-published data lists ELIZABETH SAM as an active registrant.
Does ELIZABETH SAM list a primary specialty?
If you are matching referrals, note Primary Care Nurse Practitioner for ELIZABETH SAM. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH SAM's primary listing?
We display Lilburn, Georgia because that is what the record indicates for ELIZABETH SAM.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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