Annelise Corry Evans Samples, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4630 Issued in SC

Practice address

1213 Remount Rd Ste E
North Charleston, SC 29406-3433

Phone

(843) 973-5415

Fax

(833) 994-1101

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care SC PCGroup PAC ID 2860804796, 44 clinicians

Centerwell Senior Primary Care SC JV PCGroup PAC ID 5294190252, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annelise.samples.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790
  Medicare reassignment Care Compare group NPD
• Hopehealth Inc

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1821002411
  Medicare reassignment
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1962101501
  Care Compare group
• Hopehealth Inc

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
  • NPI 1649069618
  NPD
• Hopehealth, Inc

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
  • NPI 1831442854
  NPD
• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greer, SC
  • NPI 1093179426
  NPD (past)
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1073212957
  NPD (past)

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

• Bon Secours St. Francis Xavier Hospital Inc.

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1619684586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 REMOUNT RD STE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063433",
            "telephone_number": "843-973-5415",
            "fax_number": "833-994-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 REMOUNT RD STE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063433",
            "telephone_number": "843-973-5415",
            "fax_number": "833-994-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLES",
        "first_name": "ANNELISE",
        "middle_name": "CORRY EVANS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annelise.samples.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1213 Remount Rd Ste E",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294063433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Marie Saito, MD
• Julie Adelaide Sakae, RN
• Logan Alane Salas, SCAT, ATC
• Sam'S Club Optical
• Michael M Samiratedu, DO
• Sams East Inc
• Alana Sanders, MSR, PT
• Alexandria L Sanders, LPC
• Darlene Yvette Sanders, CEO
• Mallory Sanders, MCD, CCC-SLP

• Physician Assistant in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.