Individual provider Active NPI

Samantha Rae Twiddy, PA-C

  • Physician Assistant
  • Uniontown, OH
National Provider Identifier
1205201274
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004160 Issued in OH
Practice address
3730 Tabs Dr
Uniontown, OH 44685-9562
Phone
(330) 568-0618
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004160 OH Primary

Addresses

Primary practice location

3730 Tabs Dr
Uniontown, OH 44685-9562

Mailing address

2600 6TH St SW
Canton, OH 44710-1702

Other practice location 1

2600 6th St SW
Canton, OH 44710-1702
Phone (330) 456-2695

Other names 1

  • Samantha Green Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Samantha.Green@direct.aultman.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170221002441 OH Practitioner - Physician Assistant 5294019147 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004160OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Jan 20, 2026 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Jan 20, 2026 Accepting new patients
Stark County Pathologists Inc Current Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

Interoperability endpoints

  • Direct secure messaging: samantha.green@direct.aultman.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1205201274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 TABS DR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859562",
            "telephone_number": "330-568-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 6th St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-456-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWIDDY",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.Green@direct.aultman.org",
            "affiliation": "N",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GREEN",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.