Active NPI
Samantha Jo Palumbo
- Physician Assistant
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12803
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5307 | SC | MD | Pediatric Occupational Therapist |
| 027279 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Novant Health Medical Group LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Child & Adolescent Psychiatry Physician
- Chapel Hill, NC
- NPI 1265403042
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba CaroMont Family Medicine
- Family Medicine Physician
- Clover, SC
- NPI 1568641165
-
dba CaroMont Womens Health
- Obstetrics & Gynecology Physician
- Gastonia, NC
- NPI 1144510207
-
dba CaroMont Heart and Vascular
- Cardiovascular Disease Physician
- Gastonia, NC
- NPI 1174813224
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
dba CaroMont Family Medicine
- Family Medicine Physician
- Gastonia, NC
- NPI 1982883583
-
dba NHMG Pediatric Clinics
- Pediatrics Physician
- Charlotte, NC
- NPI 1922721141
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.