| Samantha Marie Hydes, APRN, FNP-BC | |
|
3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 | |
| (678) 990-6422 | |
| Not Available |
| Full Name | Samantha Marie Hydes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3350 Breckinridge Blvd Ste 200, Duluth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114426806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN262052 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN262052 (Georgia) | Primary |
| Entity Name | Positive Impact Health Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790861995 PECOS PAC ID: 5496721987 Enrollment ID: O20040907000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Marie Hydes, APRN, FNP-BC 1160 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306-2661 Ph: (954) 562-7332 | Samantha Marie Hydes, APRN, FNP-BC 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 Ph: (678) 990-6422 |
Christopher Pride, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052 | |
Michael Christopher Parrinello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Crestwood Pkwy Nw, Duluth, GA 30096 Phone: 404-402-7930 | |
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151 | |
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396 | |
Dailan Zhang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131 | |
Alicia Michele Cole, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 Pleasant Hill Rd, Duluth, GA 30096 Phone: 404-943-9996 Fax: 404-943-9975 | |
Juri Kubes, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 480, Duluth, GA 30096 Phone: 770-623-6433 |