Samantha A. Little, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1857 Issued in KY

Practice address

77 Millard Allen Dr E
Lackey, KY 41643-9032

Phone

(606) 358-2381

Fax

(606) 358-3068

NPI assigned

Nov 11, 2013

Last updated

Dec 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samanthalittle@arh.medalliesdirect.net

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.

• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998

  Physician Assistant

  Medicare reassignment NPD (past)
• Appalachian Regional Healthcare, Inc.

  dba ARH Family Care Wheelwright

  • Primary Care Clinic/Center
  • Bypro, KY
  • NPI 1861671117
  Medicare reassignment
• Appalachian Regional Healthcare, Inc

  dba ARH Medical and Specialty Associates - Prestonsburg

  • Rural Health Clinic/Center
  • Prestonsburg, KY
  • NPI 1144814757
  NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Tri-Cities Clinic Pharmacy

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Specialty Associates - Middlesboro

  • Multi-Specialty Clinic/Center
  • Middlesboro, KY
  • NPI 1801403092

  Physician Assistant

  NPD
• Ira B Potter PSC

  • Medical Specialty Clinic/Center
  • Lackey, KY
  • NPI 1962401455

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387929600000",
    "number": "1811326812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MILLARD ALLEN DR E",
            "address_2": "P.O. BOX 190",
            "city": "LACKEY",
            "state": "KY",
            "postal_code": "416439032",
            "telephone_number": "606-358-2381",
            "fax_number": "606-358-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MILLARD ALLEN DR E",
            "city": "LACKEY",
            "state": "KY",
            "postal_code": "416439032",
            "telephone_number": "606-358-2381",
            "fax_number": "606-358-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "SAMANTHA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Gravitt, RPH
• Maryann Hall, PAC
• Ira B Potter PSC
• J & M Transprortation LLC
• Layne Medical, Inc.
• Kelsey Darah Stiltner

• Physician Assistant in Lackey, KY
• Providers in Lackey, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.