P Praxis·MD
● Active Type 1 · Individual

Michael A Samotowka, MD

Surgery·Atlanta, GA· NPI 1437124021 · Enumerated 2006 · 20 years on NPI
Samotowka is 1 of 13 surgery providers in Atlanta and 1 of 54 in Georgia.
NPI age
20 years
Enumerated 2006-02-17
Primary specialty
Surgery
Plus 5 subspecialties
Licensed in
GA, WI, NC, OR, AL
5 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 54 active surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (17 yr)
State licenses
5 states
Top 50% — 50% of peers are multi-state
Subspecialties
2
In the 88% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1000 Johnson Ferry Rd
Atlanta, GA 303421606
📞 4048518000fax 4043033759
Mailing address
Po Box 1038
Columbus, GA 319021038
📞 7066496600fax 7066496614

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
300 N Graham St Ste 125
Portland, OR 972271683
📞 5034133714
Location 3
1000 N Oak Ave
Marshfield, WI 544495703
📞 7153875511

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
    GA license #074898WI license #14840OR license #MD227334AL license #00021026 taxonomy 2086S0102X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    NC license #2023-02813 taxonomy 208600000X
  • Surgery
    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
    AL license #00021026 taxonomy 2086S0127X

Identifiers

TypeValueNotes
01 (AL) 000038806 ALABAMA MEDICAID
01 (LA) 1479764 MEDICAID OF LOUISIANA
01 (GA) 074898 MEDICAL LICENSE
01 (AL) 051038806 BCBS
01 (TN) 3092225 TENNCARE
01 (TN) 4045899 TENNESSEE MEDICAID
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 362 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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