SAMUEL ADAMS LEE I (NPI# 1376044115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376044115 |
| Entity Type | Individual |
| Full Name | SAMUEL ADAMS LEE I |
| Credential | PA-C |
| Practice Address |
3400 Old Milton Pkwy Ste C270 Alpharetta GA 30005 |
| Mailing Address |
315 W Benson St Decatur GA 30030-4313 |
| Practice Telephone | 7704421911 |
| Mailing Telephone | 4152717057 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
8624 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 Collier Rd Nw, Atlanta, GA 303091709 | 4043500009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1033538954 | Samuel Lee | Anesthesiology | 100 Michign St Ne, Grand Rapids, MI 49503-2560 | 2014-04-08 |
| 1649606401 | Samuel Shih-yu Lee | Counselor | 906 E 5th St, Suite 201, Austin, TX 78702-3861 | 2013-09-24 |
| 1184989436 | Samuel Theodore Lee | Pediatrics | 4401 Wornall Rd Ste 2708, Kansas City, MO 64111-3220 | 2012-07-11 |
| 1356604722 | Samuel Yeh-chang Lee | Specialist/Technologist | 2429 Pali Hwy, Honolulu, HI 96817-1452 | 2012-06-20 |
| 1447445192 | Samuel Sung-jae Lee | Dentist | 511 Calle Malaguena, San Clemente, CA 92672-2357 | 2007-09-06 |
| 1508069931 | Samuel Lee | Counselor | 952 Echo Ln Ste 335, Houston, TX 77024-2792 | 2007-06-05 |
| 1851418255 | Samuel Soonho Lee | Dentist | 6727 Flanders Dr Ste 220, San Diego, CA 92121-2926 | 2007-03-23 |
| 1053323220 | Samuel Lee | Pharmacist | 4150 Clement St # 119, San Francisco, CA 94121-1545 | 2006-08-13 |
| Street Address |
3400 OLD MILTON PKWY STE C270 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053587949 | Satishkumar Mudduranganath Ganjam | Family Medicine | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2008-05-01 |
| 1205436813 | Jennifer Khong | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-11-01 |
| 1649879818 | Dana Lee Cole | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-10-20 |
| 1851905442 | Nijja Vargas | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-09-01 |
| 1053939330 | Jamie Elizabeth Cool | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-07-13 |
| 1891315552 | Rosemarie Cianfarani | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-04-23 |
| 1831719566 | Sara Elizabeth Messier | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-04-22 |
| 1578194973 | Helen Zhang | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-02-04 |
| 1750923884 | Jessica Munie | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2019-10-09 |
| 1093276867 | Mariana Anderson Varner | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1568810299 | Natasha Jivani | Physician Assistant | 11968 Thornbury Vw, Alpharetta, GA 30005-9016 | 2016-06-03 |
| 1629448584 | Kara Livingston Harris | Physician Assistant | 3400c Old Milton Pkwy Ste 270, Alpharetta, GA 30005-4438 | 2015-10-04 |
| 1114226842 | Beverly O'bryan Cartwright | Physician Assistant | 3400c Old Milton Pkwy # 270, Alpharetta, GA 30005-4438 | 2011-03-21 |
| 1295934495 | Namita M Kumar | Physician Assistant | 3155 North Point Pkwy, Bldg E, Suite 100, Alpharetta, GA 30005-5494 | 2007-07-17 |
| 1831247501 | Jaime Drummond Kutter | Physician Assistant | 3400b Old Milton Pkwy, Alpharetta, GA 30005 | 2007-01-08 |
| 1023025400 | Hiral N Patel | Physician Assistant | 2365 Old Milton Pkwy Ste 300, Alpharetta, GA 30009-2140 | 2006-08-01 |
| 1306804018 | Wayne Emineth | Physician Assistant | 401 S Main St Ste A2, Alpharetta, GA 30009-1957 | 2006-05-02 |
| 1578194973 | Helen Zhang | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-02-04 |
| 1750923884 | Jessica Munie | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2019-10-09 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on SAMUEL ADAMS LEE I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.