Individual provider Active NPI

Samantha Jo Palumbo

  • Physician Assistant
  • Gastonia, NC
National Provider Identifier
1477215978
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12803 Issued in NC
Practice address
4235 S New Hope Rd
Gastonia, NC 28056-8453
Phone
(704) 825-4750
Fax
(704) 825-6985
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027279 NY
Physician Assistant 363A00000X 0010-12803 NC Primary

Addresses

Primary practice location

4235 S New Hope Rd
Gastonia, NC 28056-8453

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230411000611 NC Practitioner - Physician Assistant 6901271642 Reassigns benefits to 3 organizations
I20240906001780 SC Practitioner - Physician Assistant 6901271642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, shared by 2 NPIs, 425 clinicians

Practice addresses (Care Compare)

1200 Village Harbor Dr
Lake Wylie, SC 29710-9092

1220 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-5333

1337 E Garrison Blvd
Gastonia, NC 28054-5127
Phone (704) 865-3848

1381 E Garrison Blvd
Gastonia, NC 28054-5127
Phone (704) 861-2273

1895 Hoffman Rd
Gastonia, NC 28054-6557

214 Cleveland Ave
Kings Mountain, NC 28086-3106
Phone (704) 731-1228

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

4235 S New Hope Rd
Gastonia, NC 28056-8453

519 Nautical Dr
Clover, SC 29710-8113

520 N Dekalb St
Shelby, NC 28150-4188

600 W Trade St
Dallas, NC 28034-1543
Phone (980) 834-9170

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

700 N Main St
Stanley, NC 28164-1438
Phone (704) 263-8945

910 E Church St
Cherryville, NC 28021-2968

9310 Strause Dr
Charlotte, NC 28214-5054

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5307SCMDPediatric Occupational Therapist
027279NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Jun 17, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 17, 2024 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 10, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Novant Health Medical Group LLC CurrentSince Oct 10, 2025 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

2400 South Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 316-3017

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

936 Cox Rd
Gastonia, NC 28054
Phone (704) 823-1525

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

700 N Main St
Stanley, NC 28164
Phone (704) 263-8945

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Interoperability endpoints

  • Direct secure messaging: spalumbo1736990@direct.novanthealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1477215978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568453",
            "telephone_number": "704-825-4750",
            "fax_number": "704-825-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027279",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.