Samantha Poole Carter, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-098886 Issued in AL

Practice address

4300 W Main St Ste 15
Dothan, AL 36305-1058

Phone

(334) 944-7056

Fax

(334) 944-7063

NPI assigned

Oct 3, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL, Nurse Practitioner

  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Mobile, AL
  • NPI 1073891792
  NPD
• Samantha Carter NP LLC

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1356022826
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1013310143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6599",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026599",
            "telephone_number": "334-944-7056",
            "fax_number": "334-944-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 15",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051058",
            "telephone_number": "334-944-7056",
            "fax_number": "334-944-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SAMANTHA",
        "middle_name": "POOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-098886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.carter.3@3326.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "address_1": "4300 W Main St Ste 15",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363051058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenyetta Rena Carroll
• Lee Van Carroll, D.M.D.
• Belinda Casey Carter
• Caroline Odom Carter
• Samantha Carter, PHARMD.
• Spencer Alexander Carter, MD
• Garrett Case, DNAP CRNA
• Justin Casey, CRNP
• Leslie Casiple, CRNA
• Courtney Castillo

• Nurse Practitioner in Dothan, AL
• Providers in Dothan, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.