Samantha Hamblin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28109 Issued in TN

Practice address

1385 W Brierbrook Rd
Germantown, TN 38138-2208

Phone

(901) 390-2930

Fax

(901) 390-2940

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vascular and Vein Institute of the South PLLCGroup PAC ID 9739423336, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samanthahamblin@vvis.allscriptsdirect.net

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.

• Vascular and Vein Institute of the South, PLLC

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1275016941

  MS

  Medicare reassignment Care Compare group NPD
• Vascular and Vein Institute of the South, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
  • NPI 1073396453
  NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1194332007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930",
            "fax_number": "901-390-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386146519",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sunset Dr Ste P",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389014084",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Goodman Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719405",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2704 W Oxford Loop Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555728",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Getwell Dr",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682213",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 W Brierbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382208",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 US Highway 51 N",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380531730",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Madison Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046428",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Madison Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046428",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 River Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "MS",
            "postal_code": "389304212",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28109",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "903994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Morgan Hall, OT
• Lindsay Hall, MOTR/L
• Terri L Hall, NP
• Stephanie Ham
• Hamad Ahmad MD PC
• Angela Prieb Hamilton, FNP
• Hamm, Blackstock & Stern, PLLC
• Ryan Patrick Hammond
• Sarah Elizabeth Hammond, M.D.
• Linda K Han, M.D.

• Nurse Practitioner in Germantown, TN
• Providers in Germantown, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.