KATHRYN B SAMPLES (NPI# 1386628790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386628790 |
| Entity Type | Individual |
| Full Name | KATHRYN B SAMPLES |
| Credential | P.A.-C. |
| Practice Address |
157 Clinic Ave Suite 302 Carrollton GA 30117-4413 |
| Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7708343336 |
| Practice Fax Number | 7708322136 |
| Mailing Telephone | 7708388710 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003055 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000202A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942559042 | Kathryn Joanne Samples | Speech-Language Pathologist | 3859 Montgomery Dr, Santa Rosa, CA 95405 | 2012-09-05 |
| Street Address |
157 CLINIC AVE SUITE 302 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729582 | Bradley J. G. Larson | Internal Medicine | 157 Clinic Ave, Ste 101, Carrollton, GA 30117-4413 | 2005-06-13 |
| 1871949875 | Payal Patel | Physician Assistant | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 | 2016-05-09 |
| 1497121487 | Brittany Baker | Dermatology | 157 Clinic Ave, Suite 301, Carrollton, GA 30117-4454 | 2015-08-13 |
| 1366829095 | Corie Price | Nurse Practitioner | 157 Clinic Ave, Suite 201, Carrollton, GA 30117-4454 | 2015-05-01 |
| 1184851701 | Scott Alvin Denham | Emergency Medicine | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 | 2009-06-22 |
| 1902059314 | Prashant Sharma | Internal Medicine | 157 Clinic Ave, Suite 201, Carrollton, GA 30117-4454 | 2008-10-29 |
| 1285814988 | Carroll County Nephrology LLC | Internal Medicine | 157 Clinic Ave, Suite 203, Carrollton, GA 30117-4454 | 2007-11-09 |
| 1689887911 | Bryan Quinn | Internal Medicine | 157 Clinic Ave, Suit 203, Carrollton, GA 30117-4454 | 2007-05-07 |
| 1851510119 | Heather Pennell Park | Surgery | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 | 2007-04-25 |
| 1124156310 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 157 Clinic Ave, Ste 101, Carrollton, GA 30117-4454 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998728 | Carrollton Or Surgical Affiliates Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-02-20 |
| 1952874257 | West Plano Surgery Specialist Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-01-09 |
| 1871949875 | Payal Patel | Physician Assistant | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 | 2016-05-09 |
| 1598106775 | Orthopedic Partners for Surgical Advancement | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on KATHRYN B SAMPLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.