Individual provider Active NPI

David Sams Jr., PA-C

  • Physician Assistant
  • Athens, OH
National Provider Identifier
1821429895
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005546RX Issued in OH
Practice address
2 Health Center Dr
Athens, OH 45701-2907
Phone
(740) 592-7100
Fax
(740) 592-7112
NPI assigned
Dec 2, 2013
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 50.005546RX OH Primary
Medical Physician Assistant 363AM0700X 0010-04430 NC

Addresses

Primary practice location

2 Health Center Dr
Athens, OH 45701-2907

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 544-6155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsams376829@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181011002515 OH Practitioner - Physician Assistant 0042438228 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-04430NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Feb 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2020 Accepting new patients

Locations

2 Health Center Dr
Athens, OH 45701
Phone (740) 592-7100

75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1821429895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HEALTH CENTER DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012907",
            "telephone_number": "740-592-7100",
            "fax_number": "740-592-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2022-01-25",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005546RX",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsams376829@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2 Health Center Dr",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.