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

Jaine Samuel

Individual provider Family Nurse Practitioner · NPI 1700129681

Jaine Samuel is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2011, 15 years ago. Practices with Piedmont Professional Services LLC, a 163-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2013
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Practice location Address checks out

865 N Highland Ave NE
Atlanta, GA 30306
Phone: (404) 733-6089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2106 Ashley Oaks Cir, Wesley Chapel, FL 33544-6417 — (813) 347-9455

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN275872 (GA)

Record details

NPI number1700129681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 29, 2013
Last updated in NPPESJuly 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Piedmont Professional Services Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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