SAMUEL L. CHURCH MD – NPI #1053398149
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

SAMUEL CHURCH is a physician located in HIAWASSEE, GA. NPPES has assigned the NPI number 1053398149 to SAMUEL CHURCH on December 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Mar 05, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL CHURCH below.

NPI Profile for
SAMUEL L. CHURCH

NPI Number
1053398149
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL L. CHURCH
Credentials
MD
Primary location
85 SEASONS LANE
HIAWASSEE, GA 30546-3217
Phone: (706) 896-0505 Fax: (866) 796-2502
Mailing address
PO BOX 1217
HIAWASSEE, GA 30546-1217
Phone: (706) 896-0505 Fax: (866) 796-2502
Sole Proprietor
No
Updated
Identifiers

Identifiers for SAMUEL CHURCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDGA002342
OTHERMEDICARE RAILROADGA930122977
MEDICAIDGA000901271D
MEDICAIDNC89066J3
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 GA 048990

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL CHURCH is affiliated with the following medical group(s):
  • HOSPITAL
    • CHATUGE REGIONAL HOSPITAL
      110 S MAIN STREET
      HIAWASSEE, GA 30546
    • NORTHEAST GEORGIA MEDICAL CENTER, INC
      743 SPRING STREET
      GAINESVILLE, GA 30501
    • UNION GENERAL HOSPITAL
      35 HOSPITAL ROAD
      BLAIRSVILLE, GA 30512
  • HOME HEALTH AGENCY
    • MOUNTAIN HOME HEALTH
      516-A BLUE RIDGE ST, SUITE A
      BLAIRSVILLE, GA 30512
    • TUGALOO HOME HEALTH AGENCY, AN AMEDISY COMPANY
      2565 THOMPSON BRIDGE RD, STE 204 & 205
      GAINESVILLE, GA 30501
  • HOSPICE
    • HOMESTEAD HOSPICE OF BLAIRSVILLE LLC
      426 CLEVLAND ST STE 3
      BLAIRSVILLE, GA 30512
    • REGENCY SOUTHERNCARE
      2924 PROFESSIONAL PARKWAY
      AUGUSTA, GA 30907

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