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

Sam Secord

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184205478

Sam Secord is an Anesthesiology Assistant in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Phone: (404) 851-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 — (404) 727-5910

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 11587 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184205478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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