Individual provider Active NPI

Samantha Thomason Barrett, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1295488179
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11947 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-7010
NPI assigned
Jan 31, 2022
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 0010-11947 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

PO Box 187
Faison, NC 28341-0187

Other practice location 1

556 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 483-2646

Other practice location 2

1095 N Bragg Blvd Ste 104
Spring Lake, NC 28390-3307
Phone (910) 339-6015

Other practice location 3

1262 Oliver St
Fayetteville, NC 28304-4449
Phone (910) 615-4801

Other practice location 4

7118 Main St
Wade, NC 28395-9749
Phone (910) 483-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220422002247 NC Practitioner - Physician Assistant 1951798842 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-11947NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 6, 2024 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Mar 1, 2022 Accepting new patients
Stedman-Wade Health Services, Inc. CurrentSince Mar 31, 2024 Accepting new patients
Goshen Medical Center, Incorporated CurrentSince Mar 1, 2022 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 6, 2024 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients
Stedman-Wade Health Services, Inc. Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

1262 Oliver St
Fayetteville, NC 28304
Phone (910) 615-4801

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2313 Murchison Rd
Fayetteville, NC 28301
Phone (910) 483-6694

3613 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 354-1720

556 Sandhurst Dr
Fayetteville, NC 28304
Phone (910) 483-2646

1095 N Bragg Blvd
Ste 104
Spring Lake, NC 28390
Phone (910) 339-6015

Interoperability endpoints

  • Direct secure messaging: sthomason@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: sthomasonlink108964@capefearvalley.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1295488179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 Sandhurst Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044426",
            "country_code": "US",
            "telephone_number": "910-483-2646",
            "fax_number": "910-483-9470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 N Bragg Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NC",
            "postal_code": "283903307",
            "country_code": "US",
            "telephone_number": "910-339-6015",
            "fax_number": "910-339-6017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1262 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044449",
            "country_code": "US",
            "telephone_number": "910-615-4801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7118 Main St",
            "address_purpose": "LOCATION",
            "city": "Wade",
            "state": "NC",
            "postal_code": "283959749",
            "country_code": "US",
            "telephone_number": "910-483-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "SAMANTHA",
        "middle_name": "THOMASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.