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

Samantha Peckham, AT, ATC

Individual provider Athletic Trainer · NPI 1902587058

Samantha Peckham, AT, ATC is an Athletic Trainer in Blakely, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

12020 Columbia St
Blakely, GA 39823-2598
Phone: (734) 347-8962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT004041 (GA)

Record details

NPI number1902587058
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT , ATC
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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