Healthcare Provider Details

I. General information

NPI: 1568843233
Provider Name (Legal Business Name): JOYCY SAMSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 N POINT PKWY FL 2
ALPHARETTA GA
30022-2445
US

IV. Provider business mailing address

430 ENGLEWOOD AVE SE APT 526
ATLANTA GA
30315-2522
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number94-09544
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: