NPI age
15 years
Enumerated 2011-04-29
● Active
Type 1 · Individual
DR. Suhas Joe Samuel, M.D.
Samuel is 1 of 2 family medicine providers in Ellenwood and 1 of 66 in Georgia.
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 66 active family medicine providers in Georgia.
NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
54% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Practice location
2720 Quiktrip Way
Ellenwood, GA 302943504
Mailing address
4705 S 129th East Ave
Tulsa, OK 741347005
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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