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

Individual provider Internal Medicine Physician · NPI 1043650716

Samson Dejene Tadesse, MD is a Hospitalist in Gainesville, Georgia. Qualified in 2004, 22 years ago. Practices with North Atlanta Professional Services LLC, a 423-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 219-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 075162 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 75162 (GA)

Record details

NPI number1043650716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice North Atlanta Professional Services Llc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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