P Praxis·MD
● Active Type 1 · Individual

DR. Cheryl Marleise Samuel

Nurse Practitioner·Tucker, GA· NPI 1588273692 · Enumerated 2020 · 5 years on NPI
Samuel is 1 of 12 nurse practitioner providers in Tucker and 1 of 3206 in Georgia.
NPI age
5 years
Enumerated 2020-07-24
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-06
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

2020-07Enumerated in NPPES
2020 2026

Where they practice

Practice location
4500 Hugh Howell Rd Ste 640
Tucker, GA 300844720
📞 4705695943fax 4703594126
Mailing address
Po Box 2648
Tucker, GA 300852648
📞 4047842090fax 4703594126

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1041 Talbotton Rd
Columbus, GA 319048745
📞 7066608825fax 7066608897
Location 3
130 Medical Way Ste B
Stockbridge, GA 302819088
📞 6787590059fax 6786238054

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...
    GA license #134443 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Tucker in the last 180 days. See all →
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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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