Individual provider Active NPI

Samantha Lorraine Rodgers, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1801118765
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12323 Issued in NC
Practice address
5214 Market St
Wilmington, NC 28405-4067
Phone
(910) 782-3284
Fax
(910) 796-8379
NPI assigned
Feb 19, 2010
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12323 NC Primary
Medical Physician Assistant 363AM0700X MA054195 PA
Surgical Physician Assistant 363AS0400X 25MP00385200 NJ

Addresses

Primary practice location

5214 Market St
Wilmington, NC 28405-4067

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9384

Other practice location 1

1726 New Hanover Medical Park Dr
Wilmington, NC 28403-5344
Phone (910) 662-9384

Other names 1

  • Ms. Samantha Hume Former name

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
I20240301000544 NC Practitioner - Physician Assistant 4385773084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00385200NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ecep II PA CurrentSince Oct 1, 2024 Accepting new patients
NMG Health Services LLC CurrentSince Nov 1, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Nov 1, 2025 Accepting new patients
Pender Memorial Hospital, Incorporated Past Accepting new patients
Revive Spine and Pain Center PastSince Feb 4, 2024 Accepting new patients
Sandy Shores Primary Care, PLLC PastSince Feb 24, 2022 Accepting new patients
Lebanon Emergency Physicians PC Past Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

151 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 662-8440

1726 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9384

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: srodgers1605339@direct.novanthealth.org

Organizations & group practices 10

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 1

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1801118765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-9384",
            "fax_number": "910-667-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054067",
            "telephone_number": "910-782-3284",
            "fax_number": "910-796-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 New Hanover Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035344",
            "country_code": "US",
            "telephone_number": "910-662-9384",
            "fax_number": "910-667-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "SAMANTHA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12323",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054195",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00385200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HUME",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.