NPIMap

Samantha Newing Beard, DO

Individual provider Active NPI Family Medicine Physician · Greensboro, NC

NPI 1376006148 · NPPES record last updated Jun 6, 2022

Key facts

NPI
1376006148
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2022-01160 (NC)
Practice address
930 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 890-3200
Fax
(336) 890-3290
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest University Health Sciences (2,633 clinicians)

Practice addresses (Care Compare)

111 Riddle Rd
North Wilkesboro, NC 28659-8890
Phone (336) 921-1362

Hospital & facility affiliations

  • Wake Forest Baptist Health Care at Home, LLC Home health agency · Wilkesboro, NC · CCN 347043
  • North Carolina Baptist Hospital Hospital · Winston-Salem, NC · CCN 340047
  • Wilkes Regional Medical Center Hospital · North Wilkesboro, NC · CCN 340064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220629002010 NC Practitioner - Family Practice 2264812817 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2022-01160NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences Current
since Sep 11, 2023		 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Current
since Jul 1, 2022		 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine Current
since Jul 1, 2022		 Accepting new patients

Locations

171 W Wilkes Medical Center Rd
Ferguson, NC 28624
Phone (336) 973-7050

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

1125 N Church St
Greensboro, NC 27401
Phone (336) 832-8035

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

111 Riddle Rd
North Wilkesboro, NC 28659
Phone (336) 921-1362

1405 Willow Ln
North Wilkesboro, NC 28659
Phone (336) 667-2232

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: sbeard483165@direct.conehealth.com
  • Direct secure messaging: sbeard2754745@carolinashealthcaresystem.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2022-01160 NC Yes

Addresses

Primary practice location

930 3Rd St
Greensboro, NC 27405-6967

Mailing address

1125 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-8035

Other practice location 1

1125 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-8035

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sbeard483165@direct.conehealth.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2022.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1376006148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "336-832-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-890-3200",
            "fax_number": "336-890-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N Church St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011007",
            "country_code": "US",
            "telephone_number": "336-832-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARD",
        "first_name": "SAMANTHA",
        "middle_name": "NEWING",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-01160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbeard483165@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 3rd St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

All providers in Greensboro, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.