NPI age
19 years
Enumerated 2006-11-20
● Active
Type 1 · Individual
MISS Tseday Samuel, ACNP-C
Samuel is 1 of 3 nurse practitioner providers in Snellville and 1 of 950 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 950 active nurse practitioner providers in Georgia.
NPI age
19 years
↑ 13 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
1700 Tree Ln Ste 190
Snellville, GA 300786766
Mailing address
631 Professional Dr, Ste 360
Lawrenceville, GA 300463367
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
743 Spring St Ne
Gainesville, GA 305013715
Location 3
631 Professional Dr, Ste 360
Lawrenceville, GA 300463367
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(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 |
|---|---|---|
| 05 (GA) | 923160586A |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- 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.
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