Samantha R Carlson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-04129 Issued in NC

Practice address

2020 Waterscape Way
New Bern, NC 28562-7097

Phone

(252) 531-5301

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

No

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.

• Med First Immediate Care & Family Practice, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1053503763

  NC

  Medicare reassignment Care Compare group
• Med First Immediate Care & Family Practice, PA

  • Family Medicine Physician
  • New Bern, NC
  • NPI 1093229783
  NPD (past)

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

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med First Immediate Care and Family Practice PA 94 clinicians

Select Physical Therapy Holdings Inc 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: samantha.carlson.1@1905.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2019.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1043595960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WATERSCAPE WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627097",
            "telephone_number": "252-531-5301",
            "fax_number": "252-531-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WATERSCAPE WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627097",
            "telephone_number": "252-531-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1517 Forbes Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195111",
            "country_code": "US",
            "telephone_number": "412-232-3555",
            "fax_number": "412-232-3523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285603449",
            "country_code": "US",
            "telephone_number": "252-633-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardinal Community Wellness Services
• Care 2 U Medical Services
• Care2U Medical Services
• Care2Umedical
• Carebridge Assisted Living
• Megan Carney
• Kaitlyn Carnwath
• Carolina Behavioral Health and Wellness, PLLC
• Carolina Behavioral Health Innovations, PLLC
• Carolina Choice LLC

• All providers in New Bern, NC
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.