Active NPI
Samantha Anne Molony, LAT, ATC
- Sports Medicine (Emergency Medicine) Physician
- Fort Mill, SC
National Provider Identifier
1265056386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 2166
- Practice address
- 1400 A O Jones Blvd
Fort Mill, SC 29715-1625 - Phone
- (803) 835-0024
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | LAT-3146 | NC | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 2166 | SC | Primary |
Addresses
Primary practice location
1400 A O Jones Blvd
Fort Mill, SC 29715-1625
Mailing address
171 Cleggan Rd Apt 305
Rock Hill, SC 29730-5879
Phone (843) 478-1151
Other practice location 1
900 Center Park Dr Ste J
Charlotte, NC 28217-2962
Phone (704) 667-2544
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-3146 | NC | MD | Pediatric Sports Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1265056386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 CLEGGAN RD APT 305",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305879",
"telephone_number": "843-478-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 A O JONES BLVD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297151625",
"telephone_number": "803-835-0024"
}
],
"practiceLocations": [
{
"address_1": "900 Center Park Dr Ste J",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282172962",
"country_code": "US",
"telephone_number": "704-667-2544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLONY",
"first_name": "SAMANTHA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NC",
"license": "LAT-3146",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "SC",
"license": "2166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.