Individual provider Active NPI

Samuel Louis Patterson, PA

  • Physician Assistant
  • Burnsville, NC
National Provider Identifier
1447635438
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05977 Issued in NC
Practice address
856 Georges Fork Rd
Burnsville, NC 28714-7842
Phone
(828) 682-9675
Fax
(828) 682-4713
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 0010-05977 NC Primary

Addresses

Primary practice location

856 Georges Fork Rd
Burnsville, NC 28714-7842

Mailing address

856 Georges Fork Rd
Burnsville, NC 28714-7842
Phone (828) 682-9675

Other identifiers 2

IdentifierTypeStateIssuer
8000214MedicaidNC
1447635438MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spatterson@compassionatecarewnc.org

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
I20151215002564 NC Practitioner - Physician Assistant 6507167657 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-05977NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare CurrentSince Aug 16, 2025 Accepting new patients
Clay Wilson & Associates CurrentSince Dec 1, 2020 Accepting new patients
Charles W Plummer MD PA Current Accepting new patients

Locations

856 Georges Fork Rd
Burnsville, NC 28714
Phone (828) 682-9675

929 15th St NE
Ste 100
Hickory, NC 28601
Phone (828) 256-3436

327 1st Ave NW
Hickory, NC 28601
Phone (828) 695-2125

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

114 W Medical Park Dr
Lexington, NC 27292
Phone (336) 238-0143

Interoperability endpoints

  • Direct secure messaging: samuel-patterson@randylongmd.e-mdsdirect.com

Organizations & group practices 5

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1447635438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 GEORGES FORK RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147842",
            "telephone_number": "828-682-9675",
            "fax_number": "828-682-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 GEORGES FORK RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147842",
            "telephone_number": "828-682-9675",
            "fax_number": "828-682-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SAMUEL",
        "middle_name": "LOUIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000214",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447635438",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatterson@compassionatecarewnc.org",
            "affiliation": "N",
            "address_1": "856 Georges Fork Rd",
            "city": "Burnsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287147842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.