Samantha Walsh, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-07920 Issued in NC

Practice address

112 Sparks Dr
Forest City, NC 28043-9021

Phone

(704) 675-7279

Fax

(704) 675-7279

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, FL, SC3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians UnityGroup PAC ID 6406014919, 61 clinicians

Wound Care SpecialistsGroup PAC ID 6608959549, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swalsh928966@direct.unc.nchie.net

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.

• Wound Care Specialists

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1538366372

  NC

  Medicare reassignment Care Compare group
• Physicians Unity

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1679878268

  FL, NC, SC

  Medicare reassignment Care Compare group
• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559

  NC

  Medicare reassignment
• Lonnie W Lassiter II, M.D.

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1457302804
  Care Compare group
• Henderson County Hospital Corporation

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD
• Henderson County Hospital Corporation

  • Orthopaedic Surgery Physician
  • Hendersonville, NC
  • NPI 1982033031

  Multi-Specialty

  NPD
• Transitions Care Management PA

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1609230010

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1023516754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "704-675-7279",
            "fax_number": "704-675-7279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10628 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108407",
            "country_code": "US",
            "telephone_number": "407-433-2657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036811",
            "country_code": "US",
            "telephone_number": "803-254-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SAMANTHA",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Voca Corporation of North Carolina, Inc.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Chelsey Walker, LCMHCA, NCC
• Lindsey Kaye Walker, MA EDS, LCAS-A,
• Karen D Wantuch, NP-C
• Jennifer Warshawsky
• Michael Brandon Waters, LPT
• Madison Cantrell Watkins, LCSW
• Garrison Grier Watts Jr., MD

• All providers in Forest City, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.