Samantha M. Greene, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1293 Issued in AR

Practice address

2037 W Main St
Cabot, AR 72023-7479

Phone

(501) 843-4555

NPI assigned

Nov 19, 2015

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

• Samantha M. Robertson Former name

Medicare fee-for-service enrollment

Enrolled in AR

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Central Primary Care PLLC 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Arkansas Central Primary Care PLLC

  • Family Medicine Physician
  • Cabot, AR
  • NPI 1881848257

  AR

  Medicare reassignment Care Compare group NPD
• Arkansas Central Primary Care, PLLC

  • Family Medicine Physician
  • Jacksonville, AR
  • NPI 1396996740
  Care Compare group NPD
• Healthcare Express, LLP

  • Multi-Specialty Clinic/Center
  • Texarkana, AR
  • NPI 1780029892

  AR

  Medicare reassignment
• Healthcare Express, LLP

  • Urgent Care Clinic/Center
  • Sherwood, AR
  • NPI 1043714694
  NPD
• Healthcare Express, LLP

  • Physical Therapy Clinic/Center
  • Texarkana, TX
  • NPI 1881101996
  NPD
• Physicians Network Inc Dba Cabot Medical Clinic

  • Family Medicine Physician
  • Cabot, AR
  • NPI 1629032289
  NPD (past)
• Physicians Network Inc.

  • Family Medicine Physician
  • Jacksonville, AR
  • NPI 1689679169
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1962876516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 JACKSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721768819",
            "telephone_number": "757-402-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SAMANTHA",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ROBERTSON",
            "middle_name": "M.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carla Green, LCSW
• Heather L Greenwood
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• Greystone RX
• Kimberly M Griffith, CNP
• Timothy Clay Gross, D.C.

• All providers in Cabot, AR
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.