Samantha Lochridge, APN
Individual provider Active NPI Nurse Practitioner · Brownsville, TN
NPI 1093306342 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1093306342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 28942 (TN)
- Practice address
- 1203 E College St
Brownsville, TN 38012-1656 - Phone
- (731) 779-9395
- Fax
- (731) 779-9397
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- T M Carr MD PC
Practice addresses (Care Compare)
400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410
Hospital & facility affiliations
- Dyersburg Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221219000825 | TN | Practitioner - Nurse Practitioner | 1052780848 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Current |
Accepting new patients | |
| T M Carr MD PC | Nurse Practitioner | Current |
Accepting new patients |
| Pediatric Associates of West Tennessee PLLC | Past |
Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28942 | TN | Yes |
Addresses
Primary practice location
1203 E College St
Brownsville, TN 38012-1656
Mailing address
1203 E College St
Brownsville, TN 38012-1656
Phone (731) 779-9395
Other providers in Brownsville, TN
- Ashley P. Jones
- Madison Joyner
- Rachel Kelly
- Bridget Chepkoech Kirong
- Lewis Dental Group, PLLC
- Main Street Pharmacy of Brownsville LLC
- Madison Martin
- Master It All Counseling & Consulting, PLLC
- Brenda M McCrary
- Bernasue Valerie McElrath
All providers in Brownsville, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.