Suhas Joe Samuel, M.D.
Sports Medicine (Family Medicine) Physician · Ellenwood, GA
Suhas Joe Samuel, M.D. is a sports medicine (family medicine) physician with a practice address in Ellenwood, Georgia, and NPI 1356632962, issued on Apr 29, 2011. Check the license (Georgia 072465, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Suhas Joe Samuel
- Credential
- M.D.
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License number
- 072465 GA
Self-reported in NPPES; status is on the state search - Practice location
- 2720 Quiktrip Way, Ellenwood, GA 30294
- Phone
- (470) 582-5698
- Enumerated
- Apr 29, 2011
- Record last updated
- Jan 19, 2023
- Medicare enrollment
- Enrolled (PECOS I20170412001973); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest sports medicine (family medicine) physician records → All 55 in Georgia → Look up another NPI →
Verify Suhas Joe Samuel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 072465Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Northside Urgent Care Holding LLCMarietta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Suhas Joe Samuel among 55 sports medicine (family medicine) physician records in Georgia
Suhas Joe Samuel, M.D. is one of 55 sports medicine (family medicine) physician records with a practice address in Georgia. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 47% of them.
- NPI issued2011 · 47% of these records are older, 45% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2009 · median 2012 among the 34 with a school on file
- Record last updated2023 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Family Medicine) Physician providers in Georgia
There are 55 sports medicine (family medicine) physician records in Georgia.
All 55 in Georgia → Every provider in Ellenwood → Sports Medicine (Family Medicine) Physician nationwide →
The 8 sports medicine (family medicine) physician records with the nearest ZIP codes
- Mohammed Qureshi, D.O.Ellenwood, GA 302941770997942
- Edgar Dollar, D.O.Thomaston, GA 302861962763441
- Michael Sampson, D.O.Atlanta, GA 303091457388621
- Altelisha Taylor, MDAtlanta, GA 303101093277899
- Michael Huey, MDAtlanta, GA 303221366549073
- Joseph Martino, M.D.Atlanta, GA 303261740462886
- Charles Garten, M.D.Atlanta, GA 303271942234281
- Zachary CastoBrookhaven, GA 303291033790076
Common questions
What is Suhas Joe Samuel, M.D.'s NPI number?
Suhas Joe Samuel, M.D.'s National Provider Identifier (NPI) is 1356632962, issued on Apr 29, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Suhas Joe Samuel, M.D. located?
The NPPES record lists a practice address at 2720 Quiktrip Way, Ellenwood, GA, 30294. Phone: (470) 582-5698. Providers update this record themselves, so call before visiting.
How can I verify Suhas Joe Samuel, M.D.'s license?
NPPES lists Georgia license number 072465, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.