Dr Derica Nicole Sams, MD - Medicare Pediatrics in Loganville, GA

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Dr Derica Nicole Sams, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Loganville, Georgia. Her current practice location is 3925 Harrison Rd Ste 100, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 274-4222.

Dr Derica Nicole Sams is licensed to practice in Georgia (license number 97229) 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 1013443480.

Contact Information

Dr Derica Nicole Sams, MD
3925 Harrison Rd Ste 100,
Loganville, GA 30052-5898
(770) 274-4222
(770) 284-3187

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Physician's Profile

Full NameDr Derica Nicole Sams
GenderFemale
SpecialityPediatrics - Pediatric Gastroenterology
Location3925 Harrison Rd Ste 100, Loganville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013443480
  • Provider Enumeration Date: 05/04/2017
  • Last Update Date: 01/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688942428
  • Enrollment ID: I20170620000025

Medical Identifiers

Medical identifiers for Dr Derica Nicole Sams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013443480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 227179 (North Carolina)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 97229 (Georgia)Primary

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. Dr Derica Nicole Sams 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
Dr Derica Nicole Sams, MD
3925 Harrison Rd Ste 100,
Loganville, GA 30052-5898

Ph: (770) 274-4222		Dr Derica Nicole Sams, MD
3925 Harrison Rd Ste 100,
Loganville, GA 30052-5898

Ph: (770) 274-4222

Reviews and Comments


Pediatrics Doctors in Loganville, GA

Dr. Holly Lorraine Hubbard, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4495 Atlanta Hwy, Building 200, Loganville, GA 30052
Phone: 770-710-0117    Fax: 470-223-4229

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.