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

Mrs. Lisa A Samples, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1720586365

Mrs. Lisa A Samples, CPNP-AC is a Pediatric Nurse Practitioner in Austell, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (470) 732-5299
Show map & directions

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

Additional practice locations (1)

  • 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 — (404) 785-5437

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN224696 (GA)

Record details

NPI number1720586365
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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