Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Cheryl Marleise Samuel

Nurse Practitioner β€’ Tucker, GA

Active NPI 1588273692 Individual Practitioner Female Practitioner
Practice location in NPPES

4500 Hugh Howell Rd Ste 640
Tucker, GA 300844720

Call 4705695943 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4500 Hugh Howell Rd Ste 640

Tucker, GA 300844720

Telephone 4705695943
Fax 4703594126
Organization at the Same NPPES Address or Phone
Capsule Pain And Wellness Center Pc Facility NPI 1295525798

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Columbus, GA; Stockbridge, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.21 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Cheryl Samuel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Cheryl Samuel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tucker and Georgia

10 active clinicians are listed under Nurse Practitioner with a practice address in Tucker, GA (3,110 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2022

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $19.21.

Manufacturer Payment Nature Product Type Amount ($)
Bayer HealthCare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $19.21

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA 134443

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20201006003258

Enrollment State Jurisdiction

GA

PECOS Control ID

3779902077

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1041 Talbotton Rd

Columbus, GA 319048745

Phone: 7066608825

130 Medical Way Ste B

Stockbridge, GA 302819088

Phone: 6787590059

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 06, 2025

Registered at 4500 HUGH HOWELL RD STE 640, TUCKER, GA 300844720 (Tel: 4705695943)

πŸ“
Updated Business Mailing Address May 06, 2025

Registered at PO BOX 2648, TUCKER, GA 300852648 (Tel: 4047842090)

βœ…
NPI Profile Active July 24, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 24, 2020

Registered at 1041 TALBOTTON RD, COLUMBUS, GA 319048745 (Tel: 7066608825)

πŸ“
Business Mailing Address (Initial Record) July 24, 2020

Registered at 1041 TALBOTTON RD, COLUMBUS, GA 319048745 (Tel: 7066608825)

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2020

Recorded as CHERYL SAMUEL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Nurse Practitioner (license number reported to NPPES: GA 134443)

🟒
Initial NPI Registration & Enumeration July 24, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1588273692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2020
Last Update: May 06, 2025
Sole Proprietor: No

Other Nurse Practitioners in Tucker

Healthcare providers in Tucker

Mailing Address

Po Box 2648

Tucker, GA 300852648

Phone: 4047842090

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.