Samantha Henderson
NPI 1003645698ActiveIndividual· Nurse Anesthetist, Certified Registered· Woodstock, GA
Nurse Anesthetist, Certified Registered with Wellstar Medical Group LLC and 1 other group, practicing in Woodstock, Georgia. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Wellstar Kennestone Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1003645698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 31, 2024 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 283588 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (GA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Wellstar Medical Group LLCMarietta, GA · 3,093 clinicians
- Mak Anesthesia Holdings, LLCRoswell, GA · 385 clinicians
Hospital affiliation
- Wellstar Kennestone Regional Medical CenterMarietta, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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