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

Samara Acosta

Individual provider Family Nurse Practitioner · NPI 1205553112

Samara Acosta is a Nurse Practitioner in Pearson, Georgia. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022

Practice location Address checks out

640 Main St N
Pearson, GA 31642-7549
Phone: (912) 544-4569
Fax: (229) 468-9169
Show map & directions

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

Additional practice locations (1)

  • 535 Airport Rd, Hoopa, CA 95546-9615 — (530) 625-4261

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN259547 (GA)

Record details

NPI number1205553112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1146 Oquinn Dr, Tifton, GA 31794-3729

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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