Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cheryl Susan Sam

Individual provider Physician Assistant · NPI 1659163335

Cheryl Susan Sam is a Physician Assistant in Jacksonville, Florida. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone: (404) 862-4654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12894 (GA)

Record details

NPI number1659163335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address3110 Wellbrook Dr, Loganville, GA 30052-4996

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