Shabnam Samsuddin, CRNA - Medicare Nurse Anesthetist, Certified Registered in Atlanta, GA

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Shabnam Samsuddin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Georgia. Her current practice location is 1100 Johnson Ferry Rd, Bldg 2, Unit 593, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 255-9096.

Shabnam Samsuddin is licensed to practice in Georgia (license number RN226046) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326591397.

Contact Information

Shabnam Samsuddin, CRNA
1100 Johnson Ferry Rd, Bldg 2, Unit 593,
Atlanta, GA 30342-1733
(404) 255-9096
Not Available

Map and Direction




Provider's Profile

Full NameShabnam Samsuddin
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1100 Johnson Ferry Rd, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326591397
  • Provider Enumeration Date: 07/26/2016
  • Last Update Date: 10/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7012205867
  • Enrollment ID: I20161011000298

Medical Identifiers

Medical identifiers for Shabnam Samsuddin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326591397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN226046 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shabnam Samsuddin allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameGastroenterology Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942563242
PECOS PAC ID: 3779730080
Enrollment ID: O20120821000929
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameRadius Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861996225
PECOS PAC ID: 2567897127
Enrollment ID: O20200109000552
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200508002106
Entity NamePiedmont Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700474244
PECOS PAC ID: 2163837972
Enrollment ID: O20210208002823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shabnam Samsuddin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shabnam Samsuddin, CRNA
845 Constellation Dr,
Decatur, GA 30033-2814

Ph: (404) 642-5728		Shabnam Samsuddin, CRNA
1100 Johnson Ferry Rd, Bldg 2, Unit 593,
Atlanta, GA 30342-1733

Ph: (404) 255-9096

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Atlanta, GA

Hannah L Steele, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Susan C. Osgood, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Lynnon Leana Connerly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308
Phone: 404-253-6820    Fax: 404-874-1249
Mrs. Shani G Johnson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309
Phone: 404-351-1745    Fax: 404-351-7121
Vivian S. Fontenot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Charita Merchant, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309
Phone: 678-216-0771    
Caitlin Quigley, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-785-5437    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.