Individual provider Active NPI

Samantha Grace Sales, M.D.

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1194112805
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26996 Issued in MS
Practice address
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone
(601) 376-2945
NPI assigned
Apr 20, 2015
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R3949 TX
Emergency Medicine Physician 207P00000X C199871 CA
Emergency Medicine Physician 207P00000X 75635 AZ
Emergency Medicine Physician 207P00000X 26996 MS Primary

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Mailing address

256 Hoy Farms Dr
Madison, MS 39110-6200
Phone (713) 823-2757

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-2000

Other practice location 2

9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Phone (833) 574-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS, AZ, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180719003196 TX Practitioner - Emergency Medicine 7911254073 Reassigns benefits to 1 organization
I20221102000887 MS Practitioner - Emergency Medicine 7911254073 Reassigns benefits to 2 organizations
I20250410002756 AZ Practitioner - Emergency Medicine 7911254073 Reassigns benefits to 1 organization
I20250916002117 CA Practitioner - Emergency Medicine 7911254073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Estrellas Emergency Physicians LLCGroup PAC ID 5193002954, 38 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.86 of 100Reported as group
Quality
0
Improvement activities
40
Cost
74.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jul 3, 2025 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 14, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 3, 2025 Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Apr 2, 2025 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 5, 2018 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Aug 9, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

9455 Clairemont Mesa Blvd
San Diego, CA 92123
Phone (858) 266-2600

200 Corporate Blvd
Lafayette, LA 70508

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1194112805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 HOY FARMS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106200",
            "telephone_number": "713-823-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-336-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9455 Clairemont Mesa Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231297",
            "country_code": "US",
            "telephone_number": "833-574-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALES",
        "first_name": "SAMANTHA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R3949",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C199871",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "75635",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.