Samantha Jo Dorris, APRN
Individual provider Active NPI Family Nurse Practitioner · Franklin, KY
NPI 1831858638 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1831858638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3017079 (KY)
- Practice address
- 1112 S Main St
Franklin, KY 42134-2322 - Phone
- (270) 781-5111
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graves Gilbert Clinic PLLC
Practice addresses (Care Compare)
1112 S Main St
Franklin, KY 42134-2322
Phone (270) 781-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230417002024 | KY | Practitioner - Nurse Practitioner | 5991170342 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Graves Gilbert Clinic PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969
Interoperability endpoints
- samanthadorris@ggc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3017079 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3017079 | KY | Yes |
Addresses
Primary practice location
1112 S Main St
Franklin, KY 42134-2322
Mailing address
201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111
Other providers in Franklin, KY
- Cumberland Foot and Ankle Centers
- Jennifer L Delk
- Connie Gail Dickson
- Jonathan Dillard
- Laura Nicole Dinwiddie
- Downing McPeak Vision Centers
- Rebecca Lynne Doyle
- Dr Syed a Khader PLLC
- Dr. James F. Buckner, Jr
- Dr. Sanda Crnkic DC PLLC
All providers in Franklin, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.