NPIMap

Individual provider Active NPI

Samantha Childers, PA

  • Physician Assistant
  • Flatwoods, KY
National Provider Identifier
1467972711
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC618 Issued in KY
Practice address
2420 Argillite Rd Ste B
Flatwoods, KY 41139-1972
Phone
(606) 836-3900
Fax
(606) 836-0205
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital Corporation 169 clinicians
Premier Therapy and Health Centers Inc 263 clinicians

Practice addresses (Care Compare)

10650 US Route 60
Ashland, KY 41102-9611
Phone (606) 408-6301

1107 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 834-0125

1109 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 286-8086

12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

2420 Argillite Rd
Suite B
Flatwoods, KY 41139-1972
Phone (606) 836-3900

Hospital & facility affiliations

  • King'S Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901001679 KY Practitioner - Physician Assistant 1355614959 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation CurrentSince May 26, 2020 Accepting new patients
Ashland Hospital Corporation Physician Assistant CurrentSince May 26, 2020 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2420 Argillite Rd
Ste B
Flatwoods, KY 41139
Phone (606) 836-3900

1107 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 834-0125

Interoperability endpoints

  • Direct secure messaging: schilders73383@direct.kdhealth.us

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC618 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

2420 Argillite Rd Ste B
Flatwoods, KY 41139-1972

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 836-3900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2020.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1467972711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-836-3900",
            "fax_number": "606-836-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ARGILLITE RD STE B",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411391972",
            "telephone_number": "606-836-3900",
            "fax_number": "606-836-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flatwoods, KY

Sources for this page

Verify at the official NPI Registry.