Samuel Cole Brandon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2390 Issued in AL

Practice address

2941 Point Mallard Pkwy SE Ste N
Decatur, AL 35603-5760

Phone

(256) 432-2822

NPI assigned

May 16, 2024

Sex

Male

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 AL, TN2 enrollments

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 2

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical East of Decatur Inc 8 clinicians

Crossroads Urgent Care PLLC 181 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.

• Medical East of Decatur Inc

  • Rural Health Clinic/Center
  • Decatur, AL
  • NPI 1659518553

  AL

  Medicare reassignment Care Compare group NPD
• Medical East of Decatur Inc

  • Family Nurse Practitioner
  • Somerville, AL
  • NPI 1700238508

  AL

  Medicare reassignment Care Compare group
• Crossroads Urgent Care PLLC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  TN

  Medicare reassignment Care Compare group
• Crossroads Urgent Care PLLC

  • Rural Health Clinic/Center
  • Cookeville, TN
  • NPI 1114650819
  Care Compare group
• Crossroads Urgent Care PLLC

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1306579008
  Care Compare group
• Crossroads Urgent Care PLLC

  • Rural Health Clinic/Center
  • Springfield, TN
  • NPI 1316672751
  Care Compare group
• Crossroads Urgent Care PLLC

  • Rural Health Clinic/Center
  • Dayton, TN
  • NPI 1326771023
  Care Compare group
• Crossroads Urgent Care PLLC

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129
  Care Compare group

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1992554448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY SE STE N",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035760",
            "telephone_number": "256-432-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 POINT MALLARD PKWY SE STE N",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035760",
            "telephone_number": "256-432-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "SAMUEL",
        "middle_name": "COLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camalynn Boyanton
• Randi Fawn Boyd, PHARMD
• James Edward Boyle, M.D.
• Brooke Kathryn Bracken, DPT, PT
• Mary Patricia Brandenburg, CRNP
• Rebecca Brann, M.ED
• Stephen Alan Branning, M.D.
• Nikki R. Brannon, M.D.
• Teri Brannon
• Nicholas Tilford Braswell IV, M.D.

• All providers in Decatur, AL
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.