Samara Stovall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110007326 Issued in VA

Practice address

78 Medical Center Dr
Fishersville, VA 22939-2332

Phone

(540) 932-5687

Fax

(540) 932-5688

NPI assigned

Jun 9, 2020

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

Other names 1

• Samara Jasperse Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Augusta Home Care, Home health agency, Fishersville, VA, CCN 497285
• Interim Healthcare - Charlottesville Home health agency, Charlottesville, VA, CCN 497447
• Amedisys Home Health Care Home health agency, Staunton, VA, CCN 497646
• Hospice of the Shenandoah Hospice, Fishersville, VA, CCN 491547
• Augusta Health Hospital, Fishersville, VA, CCN 490018
• University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samara.stovall.1@14718.direct.athenahealth.com

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.

• Augusta Medical Group

  • General Practice Physician
  • Fishersville, VA
  • NPI 1245489590
  Medicare reassignment Care Compare group
• Augusta Medical Group

  • Rural Health Clinic/Center
  • Lexington, VA
  • NPI 1265015580
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of Virginia LLC

  • Home Health Agency
  • Staunton, VA
  • NPI 1073794863
  Care Compare affiliation
• Augusta Health Care, Inc

  • General Acute Care Hospital
  • Fishersville, VA
  • NPI 1053301127
  Care Compare affiliation
• Augusta Health Care, Inc

  • Community Based Hospice Care Agency
  • Fishersville, VA
  • NPI 1700851920
  Care Compare affiliation
• Augusta Health Care, Inc

  • Home Health Agency
  • Fishersville, VA
  • NPI 1992771067
  Care Compare affiliation
• Haslup Enterprises, LTD.

  • Home Health Agency
  • Charlottesville, VA
  • NPI 1225068190
  Care Compare affiliation
• Rector & Visitors of the University of Virginia

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1780630608
  Care Compare affiliation

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1871118497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5687",
            "fax_number": "540-932-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-932-5687",
            "fax_number": "540-932-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 Wiggington Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245024658",
            "country_code": "US",
            "telephone_number": "805-796-2578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2135 New Walkertown Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271013420",
            "country_code": "US",
            "telephone_number": "336-723-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "SAMARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samara.stovall.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "78 Medical Center Dr",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMARA",
            "last_name": "JASPERSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Stepp, PA
• Kenneth S Sternberg, DO
• Emily Carole Stevens, FNP-BC
• Brian Carr Stisser, MD
• Benjamin Stovall, PA-C
• David Strasburg, MD
• Emily Strole, LMT
• Misty Roben Summers, APRN
• Karen Sumner, AGACNP-BC
• Joe Surratt, NP

• Physician Assistant in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.