Samantha Duvall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1158 Issued in AR

Practice address

1010 S Main St
Jonesboro, AR 72401-3503

Phone

(870) 932-1820

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

University of Tennessee, HSC, College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dickson Orthopedics PA 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Piggott Community Hospital Hospital, Piggott, AR, CCN 041330

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dickson Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
  • NPI 1063487809

  AR

  Medicare reassignment Care Compare group
• Spencer H. Guinn, M.D. P.a.

  • Orthopaedic Surgery Physician
  • Jonesboro, AR
  • NPI 1003881855
  NPD (past)

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

• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837

  Hospital

  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1104526573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031533",
            "telephone_number": "870-932-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013503",
            "telephone_number": "870-932-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 E Matthews Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014362",
            "country_code": "US",
            "telephone_number": "870-932-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "PA-1158",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providers@jonesboroortho.com",
            "affiliation": "Y",
            "affiliationName": "Dickson Orthopedics, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1010 S Main St",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724013503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Dunn, M.D.
• Charlene Dunnam, CF-SLP
• Kathryn Ann Durham
• Dut Majok Dut, APN
• Jenna Dutton
• Chitharanjan Duvoor, M.D.,MRCGP
• Dyson Psychiactric Care, LLC
• Cori Anne Dyson, M.D
• Jordan Eanes, LCSW
• Ashley Earls

• All providers in Jonesboro, AR
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.