Samuel James Harden, MD
Individual provider Active NPI Surgery Physician · Denver City, TX
NPI 1316022148 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1316022148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD2023-0268 (NM)
- Practice address
- 415 N Avenue F
Denver City, TX 79323-2741 - Phone
- (806) 592-9501
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of South Alabama College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acute Care Surgery Medical Group Inc
Practice addresses (Care Compare)
355 Clear Creek Pkwy
Suite 1004
Lavonia, GA 30553-4271
Phone (706) 750-0045
Hospital & facility affiliations
- Miners' Colfax Medical Center
- Ty Cobb Regional Medical Center, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in AL, GA, TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006001087 | AL | Practitioner - General Surgery |
8123087012 | Reassigns benefits to 2 organizations |
| I20090817000642 | GA | Practitioner - General Surgery |
8123087012 | Reassigns benefits to 2 organizations |
| I20110519000856 | TX | Practitioner - General Surgery | 8123087012 | Reassigns benefits to 4 organizations |
| I20250221000149 | NM | Practitioner - General Surgery | 8123087012 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17674 | AL | MD | Pharmacist |
| 00017674 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current |
Accepting new patients | |
| Golden Rule Healthcare, PLLC | Surgery | Current |
Accepting new patients |
| American Family Care, LLC | Current |
Accepting new patients | |
| Miners Colfax Medical Center | Current |
Accepting new patients | |
| Big Bend Medical Group | Surgery | Current |
Accepting new patients |
| Miners Colfax Medical Center | Current |
Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current |
Accepting new patients | |
| Timberland Medical Group | Current |
Accepting new patients | |
| Timberland Medical Group | Surgery | Current |
Accepting new patients |
| Big Bend Medical Group | Current |
Accepting new patients | |
| A & V Doctors PLLC | Current |
Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Clanton Emergency Physicians, LLC | Past | Accepting new patients | |
| Miners Colfax Medical Center | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159
1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741
2301 S Gregg St
Big Spring, TX 79720
Phone (432) 267-5531
1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700
1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480
415 N Avenue F
Denver City, TX 79323
Phone (806) 592-9501
7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631
406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M0746 | TX | |
| Surgery Physician | 208600000X | 00017674 | AL | |
| Surgery Physician | 208600000X | 18392 | WI | |
| Surgery Physician | 208600000X | MD2023-0268 | NM | Yes |
Addresses
Primary practice location
415 N Avenue F
Denver City, TX 79323-2741
Mailing address
2501 Jimmy Johnson Ste 205
Port Arthur, TX 77640-2009
Phone (706) 582-2344
Other practice location 1
203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-7720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NM | |
| 00017674 | Other | AL | STATE LICENSE |
| 100095706 | Medicaid | WI |
Other providers in Denver City, TX
- Jay Scott Frankfather
- Jana Denise Garnett
- Golden Rule Healthcare, PLLC
- Jessica Nicole Gonzales
- Frank Patrick Goodman
- Home Oxygen & Equipment Co
- Hope Harbor Counseling PLLC
- Mark A Hornsby
- Taryn Nicole Huffaker
- Cynthia Ann Hunt
All providers in Denver City, TX · Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. 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.