Individual provider Active NPI

Samantha Cara Hemphill, FNP

  • Family Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1780344143
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015599 Issued in NC
Practice address
902B Roanoke Ave
Elizabeth City, NC 27909-5565
Phone
(252) 368-8575
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 337594 NC
Family Nurse Practitioner 363LF0000X 5015599 NC Primary

Addresses

Primary practice location

902B Roanoke Ave
Elizabeth City, NC 27909-5565

Mailing address

166 Dozier Rd
Moyock, NC 27958-9602
Phone (757) 803-8372

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
I20220610001333 NC Practitioner - Nurse Practitioner 6103204706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor G Family Medical ServicesGroup PAC ID 2769748151, 2 clinicians

Practice addresses (Care Compare)

902 B Roanoke Ave
Elizabeth City, NC 27909-5565
Phone (252) 368-8575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337594NCMDRegistered Nurse
5015599NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor G Family Medical Services CurrentSince Mar 2, 2022 Accepting new patients

Locations

902B Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 368-8575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25675/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1780344143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DOZIER RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279589602",
            "telephone_number": "757-803-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902B ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095565",
            "telephone_number": "252-368-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "SAMANTHA",
        "middle_name": "CARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "337594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.