MEDICARE: MICHAEL A SAMOTOWKA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0102X	Surgical Critical Care Physician	074898	GA
2	2086S0102X	Surgical Critical Care Physician	14840	WI
3	208600000X	Surgery Physician	2023-02813	NC
4	2086S0102X	Surgical Critical Care Physician	MD227334	OR
5	2086S0127X	Trauma Surgery Physician	00021026	AL
6	2086S0102X	Surgical Critical Care Physician	00021026	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	074898	OTHER	GA	MEDICAL LICENSE
4	051038806	OTHER	AL	BCBS
5	3092225	OTHER	TN	TENNCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437124021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A SAMOTOWKA MD

Provider Business Mailing Address
First Line	:	PO BOX 1038
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31902-1038
Country	:	US
Telephone Number	:	706-649-6600
Fax Number	:	706-649-6614

Provider Business Practice Location Address
First Line	:	1000 JOHNSON FERRY RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1606
Country	:	US
Telephone Number	:	404-851-8000
Fax Number	:	404-303-3759

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	03/05/2026

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Directions to “ MICHAEL A SAMOTOWKA MD” Practice Location

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