Active NPI
Samantha Dayawansa, MD
- Neurological Surgery Physician
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- V8608
- Practice address
- 5500 North St
Nacogdoches, TX 75965-1372 - Phone
- (936) 560-6999
- NPI assigned
- May 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 95099 | GA | |
| Neurological Surgery Physician | 207T00000X | V8608 | TX | Primary |
| Neurological Surgery Physician | 207T00000X | 01096248A | IN |
Addresses
Primary practice location
5500 North St
Nacogdoches, TX 75965-1372
Mailing address
5500 North St
Nacogdoches, TX 75965-1372
Phone (936) 560-6999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5500 N St
Nacogdoches, TX 75965-1372
Phone (936) 560-6999
Hospital & facility affiliations
- Angels Care Home Health
- Nacogdoches Medical Center
- VHS Harlingen Hospital Company LLC
- Parkview Whitley Hospital
- Nacogdoches Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95099 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
704 S Broad St
Thomasville, GA 31792
Phone (229) 226-8880
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11104 Parkview Circle Dr
Ste 110
Fort Wayne, IN 46845
Phone (260) 425-6780
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
5500 North St
Nacogdoches, TX 75965
Phone (936) 560-6999
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Interoperability endpoints
- sdayawansa676461@direct.parkviewexchange.com
- samantha.dayawansa.1@1438.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
- Home Health Agency
- Palestine, TX
- NPI 1831194018
-
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
- General Acute Care Hospital
- Harlingen, TX
- NPI 1154618742
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1376980649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651372",
"telephone_number": "936-560-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651372",
"telephone_number": "936-560-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYAWANSA",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-28",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "95099",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "V8608",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01096248A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.