Individual provider Active NPI

Samantha Craven Ammons, FNP

  • Family Nurse Practitioner
  • Rockingham, NC
National Provider Identifier
1346918422
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
295464 Issued in NC
Practice address
921 S Long Dr Ste 101
Rockingham, NC 28379-4874
Phone
(910) 417-3850
Fax
(910) 417-3866
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 295464 NC Primary

Addresses

Primary practice location

921 S Long Dr Ste 101
Rockingham, NC 28379-4874

Mailing address

921 S Long Dr Ste 101
Rockingham, NC 28379-4874
Phone (910) 417-3850

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
I20210929002640 NC Practitioner - Nurse Practitioner 3678970969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
295464NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Current Accepting new patients
FHPG, LLC CurrentSince Sep 16, 2021 Accepting new patients
MCPC-7, LLC Family CurrentSince May 1, 2024 Accepting new patients
FHPG, LLC CurrentSince Sep 16, 2021 Accepting new patients
MCPC-2, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1021 W Hamlet Ave
Ste 5
Hamlet, NC 28345
Phone (910) 205-0400

104 Rice St
Hamlet, NC 28345
Phone (910) 582-4003

104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989

921 S Long Dr
Ste 101
Rockingham, NC 28379
Phone (910) 417-3850

Organizations & group practices 6

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1346918422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S LONG DR STE 101",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3850",
            "fax_number": "910-417-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S LONG DR STE 101",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3850",
            "fax_number": "910-417-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMONS",
        "first_name": "SAMANTHA",
        "middle_name": "CRAVEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "295464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.