Individual provider Active NPI

Samantha Jean, M.D.

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1023438512
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME132410 Issued in FL
Practice address
2525 Harbor Blvd
Suite 308
Port Charlotte, FL 33952
Phone
(419) 629-7777
Fax
(941) 629-8170
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52119 KY
Hospitalist Physician 208M00000X 336250 LA
Hospitalist Physician 208M00000X ME132410 FL
Hospitalist Physician 208M00000X 52119 KY
Family Medicine Physician 207Q00000X ME132410 FL Primary

Addresses

Primary practice location

2525 Harbor Blvd
Suite 308
Port Charlotte, FL 33952

Mailing address

2525 Harbor Blvd
Suite 308
Port Charlotte, FL 33952
Phone (419) 629-7777

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other practice location 2

21297 Olean Blvd Ste A
Port Charlotte, FL 33952-6704
Phone (855) 979-5700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sjean5283325@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, KY, CA, LA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160708001262 GA Practitioner - Family Practice 1153543160 Reassigns benefits to 2 organizations
I20170823001067 FL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 1153543160 Reassigns benefits to 4 organizations
I20190213002249 KY Practitioner - Family Practice 1153543160 Reassigns benefits to 3 organizations
I20230130001617 CA Practitioner - Family PracticePractitioner - Hospitalist 1153543160 Reassigns benefits to 1 organization
I20240423000873 LA Practitioner - Hospitalist 1153543160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amago Inpatient Services LLCGroup PAC ID 7214259704, 21 clinicians
Franzuel B Pamittan MD PAGroup PAC ID 4880625052, 2 clinicians
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (954) 939-5000

2525 Harbor Blvd
Suite 308
Port Charlotte, FL 33952-5344
Phone (941) 629-7777

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336250LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franzuel B Pamittan MD PA CurrentSince Sep 2, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince May 2, 2016 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Harbor Medical Group LLC CurrentSince Nov 1, 2020 Accepting new patients
Deaconess Hospital Inc Hospitalist CurrentSince May 1, 2024 Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Aug 11, 2021 Accepting new patients
St Francis Medical Group LLC CurrentSince Apr 20, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 17, 2019 Accepting new patients
24 On Physicians of California, PC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 17, 2019 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

21202 Olean Blvd
Ste C1
Port Charlotte, FL 33952
Phone (941) 889-7440

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

2525 Harbor Blvd
Ste 308
Pt Charlotte, FL 33952
Phone (419) 629-7777

21202 Olean Blvd
Ste C6
Pt Charlotte, FL 33952
Phone (941) 889-7440

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

Interoperability endpoints

  • Direct secure messaging: samantha.jean.1@32878.direct.athenahealth.com
  • Direct secure messaging: sjean5283325@direct.casso.us.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFAJDD/Endpoint/JFAJDD

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1023438512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 308",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "419-629-7777",
            "fax_number": "941-629-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 308",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "419-629-7777",
            "fax_number": "941-629-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21297 Olean Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526704",
            "country_code": "US",
            "telephone_number": "855-979-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN",
        "first_name": "SAMANTHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "52119",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "336250",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME132410",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "52119",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME132410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjean5283325@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sjean5283325@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.