Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERICA NICOLE SAMS, M.D.
ActiveDR. DERICA NICOLE SAMS, M.D. is a Pediatric Gastroenterology healthcare provider located in LOGANVILLE, Georgia. NPI 1013443480 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · LOGANVILLE, GA
Registration Details
- NPI Number
- 1013443480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2017 (9.3041984054105 yrs)
- Last Updated
- Jan 9, 2025
- Licenses
-
227179 (NC)97229 (GA)
Practice Information
- Address
-
3925 HARRISON RD STE 100LOGANVILLE, GA, 300525898Browse GA providers · Browse ZIP 30052
- Phone
- 7702744222
- Fax
- 7702843187
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.