Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Graham Otis, FNP-C

Individual provider Family Nurse Practitioner · NPI 1922831593

Samantha Graham Otis, FNP-C is a Nurse Practitioner in Augusta, Georgia. Qualified in 2024, 2 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN260847 (GA)

Record details

NPI number1922831593
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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