Individual
MICHAEL A SAMOTOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 303-3759
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 649-6600
(706) 649-6614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2023-02813
NC
2086S0102X
Surgical Critical Care Physician
00021026
AL
2086S0102X
Surgical Critical Care Physician
Primary
074898
GA
2086S0102X
Surgical Critical Care Physician
14840
WI
2086S0102X
Surgical Critical Care Physician
MD227334
OR
2086S0127X
Trauma Surgery Physician
00021026
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000038806
ALABAMA MEDICAID
AL
01
—
051038806
BCBS
AL
01
—
074898
MEDICAL LICENSE
GA
01
—
1479764
MEDICAID OF LOUISIANA
LA
01
—
3092225
TENNCARE
TN
01
—
4045899
TENNESSEE MEDICAID
TN
Enumeration date
02/17/2006
Last updated
03/05/2026
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