Samantha J Marr, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9107898 Issued in FL

Practice address

7800 US Highway 98 W # ER
Miramar Beach, FL 32550-7228

Phone

(850) 278-3510

Fax

(850) 475-4781

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Samantha J Miller Former name

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCPC-9 LLCGroup PAC ID 1658526710, 57 clinicians

Pinehurst Radiology Group P aGroup PAC ID 3678547536, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.miller.1@9582.direct.athenahealth.com

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.

• MCPC-9, LLC

  • Orthopaedic Surgery Physician
  • Rockingham, NC
  • NPI 1487919973
  Medicare reassignment Care Compare group
• Pinehurst Radiology Group P a

  • Specialist
  • Pinehurst, NC
  • NPI 1861445686
  Medicare reassignment Care Compare group
• MCPC-8, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1922552322
  Medicare reassignment
• Pinehurst Surgical Clinic PA

  • Surgery Physician
  • Pinehurst, NC
  • NPI 1962434324
  Medicare reassignment
• MCPC-8, LLC

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1033885249
  NPD
• MCPC-8, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1073009825
  NPD
• Archbold Medical Group, Inc.

  • Surgery Physician
  • Thomasville, GA
  • NPI 1831353036
  NPD (past)

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

• Firsthealth of the Carolinas, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083953152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 98 WEST",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-278-3000",
            "fax_number": "850-475-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 98 W # ER",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507228",
            "telephone_number": "850-278-3510",
            "fax_number": "850-475-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0P4G",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140269-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MILLER",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle L. Lowe, D.O.
• Charlee Roberta Macdermott
• Kimberly A. Macdougall, OTR/L
• Jennifer Susan Mahoney, BCBA
• Brandon Joel Majerus, CRNA
• Hal Fredrick Martens, D.O.
• Amelia Fromherz Martin, M.D.
• David A Martin, M.D.
• Peter Michael Masone, D.D.S.
• Benjamin Matthews

• Surgical Physician Assistant in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.