Samantha Renee Garris, NP-C
Individual provider Active NPI Family Nurse Practitioner · Ronda, NC
NPI 1235884339 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1235884339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- GARR-9Q1W2 (NC)
- Practice address
- 3369 Clingman Rd
Ronda, NC 28670-8708 - Phone
- (336) 984-3003
- NPI assigned
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hugh Chatham Memorial Hospital, Inc.
Practice addresses (Care Compare)
5229 Rock Creek Rd
Hays, NC 28635-9267
Phone (336) 696-2711
Hospital & facility affiliations
- Hugh Chatham Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220603000957 | NC | Practitioner - Nurse Practitioner | 9234517251 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GARR-9Q1W2 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh Chatham Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc | Current |
Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc | Past | Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc | Past | Accepting new patients | |
| Hugh Chatham Memorial Hospital | Past | Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc. | Family | Past | Accepting new patients |
Locations
360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960
600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000
631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072
5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711
546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037
3369 Clingman Rd
Ronda, NC 28670
Phone (336) 984-3003
Interoperability endpoints
- sgarris@hcfme.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GARR-9Q1W2 | NC | Yes |
Addresses
Primary practice location
3369 Clingman Rd
Ronda, NC 28670-8708
Mailing address
720 Boss Blackburn Rd
Roaring River, NC 28669-8051
Phone (336) 244-5337
Other providers in Ronda, NC
- Candace N Branch
- Carenet, Inc.
- Kayla D Carter
- Kayla Dawn Chilton
- Samantha Jade Sholar Cole
- Alondra Sophia Gonzalez Ranieri
- Bethaney L. Hague Hamby
- Hugh Chatham Memorial Hospital, Inc.
- Dallas Eugene Johnson Jr.
- Kimberly J Lackey
All providers in Ronda, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.