Sam Secord
Sam Secord is an Anesthesiologist Assistant in Atlanta, GA, registered under NPI 1184205478. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1000 JOHNSON FY RD NE, Atlanta, GA 30342. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11587 | GA | Anesthesiologist Assistant primary |
This provider holds licence 11587 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Anesthesiology Assistant
- PAC ID
- 0042677544
Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Anesthesiologist Assistant covers
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. NUCC Health Care Provider Taxonomy, code 367H00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 11587 | GA | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1184205478 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 19, 2021 |
| Last updated | Apr 28, 2023 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
1000 JOHNSON FY RD NE Atlanta, GA 30342 (404) 851-8000 |
| Mailing address |
57 EXECUTIVE PARK S STE 300 Atlanta, GA 30329 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 2 | 0 | 5 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 4 | 0 | 1 | 4 | 5 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.