Individual provider Active NPI

Samantha R Stratton, P.A-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1336413095
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC088 Issued in KY
Practice address
2424 Harrodsburg Rd
Suite 200
Lexington, KY 40503-2106
Phone
(859) 278-9492
Fax
(859) 277-3027
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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 TC088 KY Primary

Addresses

Primary practice location

2424 Harrodsburg Rd
Suite 200
Lexington, KY 40503-2106

Mailing address

2424 Harrodsburg Rd
Suite 200
Lexington, KY 40503-2106
Phone (859) 278-9492

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstratton@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120321000342 KY Practitioner - Physician Assistant 3274793724
I20231128003795 NC Practitioner - Physician Assistant 3274793724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLK Dermatology PLLCGroup PAC ID 6608313440, 16 clinicians

Practice addresses (Care Compare)

360 Sunset Ave
Asheboro, NC 27203-5612
Phone (336) 625-8410

510 Pineview Dr
Kernersville, NC 27284-3663
Phone (336) 996-8410

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sstratton@directaddress.net

Organizations & group practices 1

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1336413095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 HARRODSBURG RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032106",
            "telephone_number": "859-278-9492",
            "fax_number": "859-277-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 HARRODSBURG RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032106",
            "telephone_number": "859-278-9492",
            "fax_number": "859-277-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstratton@directaddress.net",
            "affiliation": "N",
            "address_1": "2424 Harrodsburg Rd",
            "address_2": "Suite 200",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.