Samantha Peckham, AT, ATC
Athletic Trainer · Blakely, GA
Samantha Peckham, AT, ATC is an athletic trainer with a practice address in Blakely, Georgia, and NPI 1902587058, issued on Jul 31, 2023. Check the license (Georgia AT004041, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Samantha Peckham
- Credential
- AT, ATC
- Primary taxonomy
- Athletic Trainer 2255A2300X
- License number
- AT004041 GA
Self-reported in NPPES; status is on the state search - Practice location
- 12020 Columbia St, Blakely, GA 39823
- Phone
- (734) 347-8962
- Enumerated
- Jul 31, 2023
- Record last updated
- Jul 31, 2023
- Entity
- Type 1 · individual
8 nearest athletic trainer records → All 1,420 in Georgia → Look up another NPI →
Verify Samantha Peckham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license AT004041Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Samantha Peckham among 1,420 athletic trainer records in Georgia
Samantha Peckham, AT, ATC is one of 1,420 athletic trainer records with a practice address in Georgia. under 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 87% of them.
- NPI issued2023 · 87% of these records are older, 9% newer
- In a Medicare fileNo · under 1% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2023 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2255A2300X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 athletic trainer records list a practice address in Blakely
They are 3 of the 64 NPPES records with a practice address in Blakely, and 1,420 athletic trainer records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,420 in Georgia → Every provider in Blakely → Athletic Trainer nationwide →
The 8 athletic trainer records with the nearest ZIP codes
- Rachel LewisBlakely, GA 398231508403049
- Alissa WoolfBlakely, GA 398231174003131
- Sutton StuartArlington, GA 398131770063786
- Kirby Bertram, ATCColumbus, GA 319091366808701
- Kathryn BoylanColumbus, GA 319091831617422
- John Elliott-Gower, ATC, LATColumbus, GA 319091932688199
- Andrew Grubbs, ATCColumbus, GA 319091669752648
- Stephen Hajdas, ATCColumbus, GA 319091841790201
Common questions
What is Samantha Peckham, AT, ATC's NPI number?
Samantha Peckham, AT, ATC's National Provider Identifier (NPI) is 1902587058, issued on Jul 31, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Samantha Peckham, AT, ATC located?
The NPPES record lists a practice address at 12020 Columbia St, Blakely, GA, 39823. Phone: (734) 347-8962. Providers update this record themselves, so call before visiting.
How can I verify Samantha Peckham, AT, ATC's license?
NPPES lists Georgia license number AT004041, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.