Individual provider Active NPI

Samantha Danille Andreasen, PA

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1699461855
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4911 Issued in SC
Practice address
166 Stoneridge Dr # 100
Columbia, SC 29210-8239
Phone
(803) 461-3000
NPI assigned
Apr 12, 2023
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 4911 SC Primary
Medical Physician Assistant 363AM0700X SC

Addresses

Primary practice location

166 Stoneridge Dr # 100
Columbia, SC 29210-8239

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230711003918 SC Practitioner - Physician Assistant 1658730429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 434-6771

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

400 Palmetto Health Pkwy
Columbia, SC 29212-1760
Phone (803) 296-5579

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Jul 24, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 24, 2023 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

1 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 434-7910

100 Palmetto Health Pkwy
Ste G100
Columbia, SC 29212
Phone (803) 434-7750

1333 Taylor St
Ste 6F
Columbia, SC 29201
Phone (803) 296-3273

166 Stoneridge Dr
#100
Columbia, SC 29210
Phone (803) 461-3000

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Organizations & group practices 3

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1699461855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 STONERIDGE DR # 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108239",
            "telephone_number": "803-461-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREASEN",
        "first_name": "SAMANTHA",
        "middle_name": "DANILLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4911",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.