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

MS. Samantha F Frederick, NP-C

Individual provider Nurse Practitioner · NPI 1124614631

MS. Samantha F Frederick, NP-C is a Nurse Practitioner in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

228 Riverstone Dr
Canton, GA 30114-5256
Phone: (770) 479-1870
Fax: (770) 479-9705
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN203567 (GA)

Record details

NPI number1124614631
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 18, 2020
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

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