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

Samantha Lee Ann Privett, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1497239461

Samantha Lee Ann Privett, AGACNP is a Nurse Practitioner in Athens, Georgia. Qualified in 2018, 8 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

242 King Ave Ste 210
Athens, GA 30606
Phone: (706) 475-1700
Show map & directions

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

Additional practice locations (1)

  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 534-2020

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN275926 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN275926 (GA)

Record details

NPI number1497239461
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESJanuary 2, 2025
Certification dateDecember 31, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Athens