NPI age
5 years
Enumerated 2020-12-18
● Active
Type 1 · Individual
MS. Samantha F Frederick, NP-C
Frederick is 1 of 30 nurse practitioner providers in Canton and 1 of 3206 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3206 active nurse practitioner providers in Georgia.
NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Practice location
228 Riverstone Dr
Canton, GA 301145256
Mailing address
1835 Savoy Dr Ste 300
Atlanta, GA 303411071
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | G24488A | MEDICARE PTAN |
| 05 (GA) | 003245264A | |
| 05 (GA) | 003245264B |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.