Active NPI
David Sammons II, APRN
- Family Nurse Practitioner
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012812
- Practice address
- 484 Tollage CRK
Pikeville, KY 41501-3305 - Phone
- (606) 230-2255
- Fax
- (606) 437-3001
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012812 | KY | Primary |
Addresses
Primary practice location
484 Tollage CRK
Pikeville, KY 41501-3305
Mailing address
484 Tollage CRK
Pikeville, KY 41501-3305
Phone (606) 230-2255
Other practice location 1
2643 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 531-4040
Other practice location 2
822 S Mayo Trl
Paintsville, KY 41240-1384
Phone (606) 789-5541
Other practice location 3
140 Adams Ln Ste 100
Pikeville, KY 41501-3090
Phone (606) 230-2255
Other practice location 4
140 Adams Ln Ste 300
Pikeville, KY 41501-3088
Phone (606) 230-2255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154897791 | Medicaid | WV | |
| 1154897791 | Medicaid | VA | |
| 7100564090 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012812 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Pediatrics of Wayland | Past | Accepting new patients | |
| Compassion Services | Past | Accepting new patients | |
| Compassion Pediatrics LLC | Family | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4
- david.sammons.ii.1@19494.direct.athenahealth.com
- david.sammons.1@19494.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Wayland, KY
- NPI 1922754290
-
- Rural Health Clinic/Center
- Pikeville, KY
- NPI 1619642972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1154897791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TOLLAGE CRK",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013305",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 TOLLAGE CRK",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013305",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001"
}
],
"practiceLocations": [
{
"address_1": "2643 King Kelly Coleman Hwy",
"address_purpose": "LOCATION",
"city": "Wayland",
"state": "KY",
"postal_code": "41666",
"country_code": "US",
"telephone_number": "606-531-4040",
"fax_number": "606-284-2039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "822 S Mayo Trl",
"address_purpose": "LOCATION",
"city": "Paintsville",
"state": "KY",
"postal_code": "412401384",
"country_code": "US",
"telephone_number": "606-789-5541",
"fax_number": "606-789-9445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Adams Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415013090",
"country_code": "US",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Adams Ln Ste 300",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415013088",
"country_code": "US",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMMONS",
"first_name": "DAVID",
"name_suffix": "II",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2023-08-02",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154897791",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154897791",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100564090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.