Individual provider Active NPI

Samta Ashok Bhakta, ANP-BC

  • Adult Health Nurse Practitioner
  • Morrisville, NC
National Provider Identifier
1770712846
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5006444 Issued in NC
Practice address
6402 McCrimmon Pkwy
Morrisville, NC 27560-8138
Phone
(910) 893-9700
NPI assigned
Jul 9, 2009
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 250413 NC
Adult Health Nurse Practitioner 363LA2200X 5006444 NC Primary

Addresses

Primary practice location

6402 McCrimmon Pkwy
Morrisville, NC 27560-8138

Mailing address

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700

Other practice location 1

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190723000462 NC Practitioner - Nurse Practitioner 1658688346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology and Pain Management, PLLCGroup PAC ID 6305895905, 15 clinicians

Practice addresses (Care Compare)

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
250413NCMDAdult Health Nurse Practitioner
5006444NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Pain Management Center, PLLC CurrentSince May 1, 2019 Accepting new patients
Atlantic Radiology Associates PA PastSince May 1, 2019 Accepting new patients
One Stop Rehab LLC PastSince Aug 18, 2024 Accepting new patients

Locations

180 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 491-2744

325 S Walton Dr
Benson, NC 27504
Phone (919) 894-1003

1291 Oliver St
Fayetteville, NC 28304
Phone (910) 491-2744

3400 Walsh Pkwy
Ste 100
Fayetteville, NC 28311
Phone (910) 491-2744

5511 Ramsey St
Ste 200
Fayetteville, NC 28311
Phone (910) 491-2744

350 Pine State St
Lillington, NC 27546
Phone (910) 893-9700

3528 Davis Dr
Morrisville, NC 27560
Phone (919) 234-6016

6402 McCrimmon Pkwy
Ste 300
Morrisville, NC 27560
Phone (910) 584-5003

1212 Central Dr
Ste 101
Sanford, NC 27330

Interoperability endpoints

  • Direct secure messaging: samtabhakta@napm.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1770712846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469428",
            "telephone_number": "910-893-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 MCCRIMMON PKWY",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608138",
            "telephone_number": "910-893-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Pine State St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275469428",
            "country_code": "US",
            "telephone_number": "910-893-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "SAMTA",
        "middle_name": "ASHOK",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "250413",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5006444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.