Samantha Brooke Ledbetter (NPI# 1841794757, PAC ID# 8527311729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841794757 |
| PAC ID by PECOS | 8527311729 |
| Professional Enrollment ID | I20181105000652 |
| Full Name | Samantha Brooke Ledbetter |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| Address |
852 Dacula Rd Dacula GA 30019-3185 |
| Phone Number | 7708489381 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274535687 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 4889 Golden Pkwy, Suite 100, Buford, GA 30518-5878 | 6787143217 | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| 3575 Braselton Hwy, Dacula, GA 30019-1027 | 7708485300 | NORTHEAST GEORGIA PHYSICIANS GROUP INC |
| 852 Dacula Rd, Dacula, GA 30019-3185 | 7708489381 | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac Alexander Roy | Nurse Practitioner | Northeast Georgia Physicians Group-urgent Care | 2578 Helen Hwy, Cleveland, GA 30528-2848 |
| Peaesha Lynette Houston | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 4889 Golden Pkwy, Suite 100, Buford, GA 30518-5878 |
| Johan Koo | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 108 Prominence Ct, Suite 100, Dawsonville, GA 30534-6340 |
| Vanessa K Wood | Physician Assistant | Northeast Georgia Physicians Group-urgent Care | 597 S Enota Nedr, Gainesville, GA 30501-2545 |
| Lindsay K Patterson | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Rebecca J Loomis | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Maria V. Deveau | Physician Assistant | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Ndubuisi A Ndukwe | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Trinell N Robertson | Nurse Practitioner | Northeast Georgia Physicians Group-urgent Care | 108 Prominence Ct, Suite 100, Dawsonville, GA 30534-6340 |
| Allison C Turk | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Street Address |
852 DACULA RD |
| City | DACULA |
| State | GA |
| Zip | 30019-3185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer B Cobernus | Family Medicine | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Maria V. Deveau | Physician Assistant | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Ndubuisi A Ndukwe | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Darrell K Scales | Orthopedic Surgery | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Carlos J Garcia Iii | Physician Assistant | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Minkailu Sesay | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Hillery S Bavani | Hospitalist | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Morris C Pulliam | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Julie Thach | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Linu Chandy Joseph | Family Medicine | Northeast Georgia Physicians Group Inc | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna L Richardson | Nurse Practitioner | Atlanta Allergy and Asthma, Pa | 2089 Teron Trace, Suite 250, Dacula, GA 30019 |
| Cheryl M Hughes | Clinical Social Worker | 3617 Braselton Hwy, Suite 104, Dacula, GA 30019 | |
| Shirley A Boone-sanford | Psychologist, Clinical | 2078 Teron Trace, Suite 250, Dacula, GA 30019 | |
| Bhairavi Dholakia | Ophthalmology | North Georgia Eye Clinic Inc | 2089 Teron Trace, Suite 160, Dacula, GA 30019 |
| Yadira Nmi Cardona Rohena | Maxillofacial Surgery | 2089 Teron Trace, Suite 215, Dacula, GA 30019 | |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Aishah Boodram | Clinical Social Worker | 3581 Braselton Hwy, Dacula, GA 30019-1027 | |
| Russell Glassman | Chiropractic | Hamilton Mill Family Chiropractic | 3509 Braselton Hwy, Dacula, GA 30019-1027 |
| Elvira Jasarevic | Family Medicine | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Jay H Joseph | Cardiovascular Disease (cardiology) | Heart Center LLC | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Find all physicians in zip 30019 | |||
| City | DACULA |
| Zip Code | 30019 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DACULA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Samantha Brooke Ledbetter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.