Individual provider Active NPI

Samantha Brooke Hays, MD

  • Family Medicine Physician
  • East Bernstadt, KY
National Provider Identifier
1649709338
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52892 Issued in KY
Practice address
2659 North Laurel Rd
East Bernstadt, KY 40729-0495
Phone
(606) 843-6195
Fax
(606) 843-6195
NPI assigned
Jun 7, 2017
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 52892 KY Primary

Addresses

Primary practice location

2659 North Laurel Rd
East Bernstadt, KY 40729-0495

Mailing address

PO Box 398
Annville, KY 40402-0398
Phone (606) 364-5162

Other practice location 1

25 Highway 290
Mc Kee, KY 40447-7067
Phone (606) 287-5162

Other practice location 2

11901 N Highway 421
Manchester, KY 40962-4859
Phone (606) 598-2706

Other practice location 3

78 SR 3444 Hwy
Annville, KY 40402-0398
Phone (606) 364-5162

Other names 1

  • Samantha Brooke Combs Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827001479 KY Practitioner - Family Practice 6103175088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

649 Meyers Baker Rd
Suite 102
London, KY 40741-3006
Phone (606) 864-7316

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52892KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bernstadt Medical Clinic PLLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Annville-Ky Adult Daycare, LLC Past Accepting new patients
East Bernstadt Medical Clinic PLLC Family Medicine Past Accepting new patients
East Bernstadt Medical Clinic PLLC Family Medicine PastSince May 18, 2025 Accepting new patients
Three Stores Inc PastSince Aug 2, 2020 Accepting new patients

Locations

11901 N Highway 421
Manchester, KY 40962
Phone (606) 598-2706

Organizations & group practices 6

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 4

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1649709338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404020398",
            "telephone_number": "606-364-5162",
            "fax_number": "606-364-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 NORTH LAUREL RD",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "407290495",
            "telephone_number": "606-843-6195",
            "fax_number": "606-843-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Highway 290",
            "address_purpose": "LOCATION",
            "city": "Mc Kee",
            "state": "KY",
            "postal_code": "404477067",
            "country_code": "US",
            "telephone_number": "606-287-5162",
            "fax_number": "606-287-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 N Highway 421",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409624859",
            "country_code": "US",
            "telephone_number": "606-598-2706",
            "fax_number": "606-598-0856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78 SR 3444 Hwy",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "KY",
            "postal_code": "404020398",
            "country_code": "US",
            "telephone_number": "606-364-5162",
            "fax_number": "606-364-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYS",
        "first_name": "SAMANTHA",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "52892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "COMBS",
            "middle_name": "BROOKE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Bernstadt, KY

Sources for this page

Verify at the official NPI Registry.