P Praxis·MD
● Active Type 1 · Individual

Kathryn B Samples, P.A.-C.

Physician Assistant·Carrollton, GA· NPI 1386628790 · Enumerated 2005 · 20 years on NPI
Samples is 1 of 1 physician assistant providers in Carrollton and 1 of 640 in Georgia.
NPI age
20 years
Enumerated 2005-11-30
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-01-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
157 Clinic Ave, Suite 302
Carrollton, GA 301174413
📞 7708343336fax 7708322136
Mailing address
119 Ambulance Dr, Suite 202
Carrollton, GA 301173857
📞 7708388710

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #003055 taxonomy 363AS0400X

Identifiers

TypeValueNotes
05 (GA) 100000202A

Practice context

Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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