Individual provider Active NPI

Samantha Price, FNP-C

  • Family Nurse Practitioner
  • Concord, NC
National Provider Identifier
1063910974
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010212 Issued in NC
Practice address
5225 Poplar Tent Rd
Concord, NC 28027-7757
Phone
(704) 782-1727
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010212 NC
Family Nurse Practitioner 363LF0000X 50100212 NC
Family Nurse Practitioner 363LF0000X 5010212 NC Primary

Addresses

Primary practice location

5225 Poplar Tent Rd
Concord, NC 28027-7757

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (704) 316-4136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Samantha.price@novanthealth.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180402001355 NC Practitioner - Nurse Practitioner 6901168921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

105 Yadkin St
Suite 301
Albemarle, NC 28001-3456
Phone (980) 323-5360

3970 W Hwy 27
Lincolnton, NC 28092-0710
Phone (704) 748-2245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010212NCMDNurse Practitioner
50100212NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jul 15, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 15, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 15, 2024 Accepting new patients

Locations

105 Yadkin St
Ste 301
Albemarle, NC 28001
Phone (704) 982-9144

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

1896 Remount Rd
Gastonia, NC 28054
Phone (704) 512-3930

3970 W Highway 27
Lincolnton, NC 28092
Phone (704) 748-2245

8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911

4429 W Highway 27
Vale, NC 28168
Phone (704) 748-2245

Interoperability endpoints

  • Direct secure messaging: sprice2900401@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: sprice@usfas.emadirect.md
  • Direct secure messaging: samantha.price@novanthealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1063910974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277757",
            "telephone_number": "704-782-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Frontis Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035614",
            "country_code": "US",
            "telephone_number": "704-316-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "SAMANTHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "50100212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.price@novanthealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2085 Frontis Plaza Blvd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.