NPI age
13 years
Enumerated 2012-07-31
● Active
Type 1 · Individual
Nellie Idara Samuel, MSN, APRN,PMHNP-BC
Samuel is 1 of 18 nurse practitioner providers in MacOn and 1 of 1622 in Georgia.
Primary specialty
Nurse Practitioner
Plus 5 subspecialties
Licensed in
GA, AZ, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
13 years
↑ 9 yr above median (4 yr)
State licenses
3 states
Top 88% — 12% of peers are multi-state
Subspecialties
3
In the 37% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-07Enumerated in NPPES
2012
2026
Where they practice
Practice location
2400 Northside Xing
MacOn, GA 312102252
Mailing address
1011 Post Drive, P O Box 6250
Salinas, CA 93912
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
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Registered NurseDefinition to come...
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Registered NurseDefinition to come...
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Registered NurseDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in MacOn in the last 180 days.
See all →
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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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