Samantha Lynn Davidson (NPI# 1831484179, PAC ID# 0749427482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1831484179 |
| PAC ID by PECOS | 0749427482 |
| Professional Enrollment ID | I20150922002864 |
| Full Name | Samantha Lynn Davidson |
| Organization Legal Name | PA CORPORATE ENTERPRISES, LLP |
| Address |
801 S Meridian St Greenfield TN 38230-2104 |
| Phone Number | 7312350555 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971769001 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180027 | MURRAY-CALLOWAY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 S Meridian St, Greenfield, TN 38230-2104 | 7312350555 | PA CORPORATE ENTERPRISES, LLP |
| 108 Courtright Rd, Martin, TN 38237-1607 | 6159881571 | FAST PACE MEDICAL CLINIC PLLC |
| 300 S 8th St, Suite 203e, Murray, KY 42071-2400 | 2707621597 | MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION |
| 803 Poplar St, Murray, KY 42071-2432 | 2707621100 | MURRAY CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION |
| 1705 W Reelfoot Ave, Union City, TN 38261-5569 | 8556323278 | FAST PACE MEDICAL CLINIC PLLC |
| Organization Legal Name | PA CORPORATE ENTERPRISES, LLP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Lindsey | Physician Assistant | Pa Corporate Enterprises, LLP | 801 S Meridian St, Greenfield, TN 38230-2104 |
| Jessica Rains | Physician Assistant | Pa Corporate Enterprises, LLP | 801 S Meridian St, Greenfield, TN 38230-2104 |
| David J Wilbert | Physician Assistant | Pa Corporate Enterprises, LLP | 801 S Meridian St, Greenfield, TN 38230-2104 |
| Street Address |
801 S MERIDIAN ST |
| City | GREENFIELD |
| State | TN |
| Zip | 38230-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Lindsey | Physician Assistant | Pa Corporate Enterprises, LLP | 801 S Meridian St, Greenfield, TN 38230-2104 |
| Jessica Rains | Physician Assistant | Pa Corporate Enterprises, LLP | 801 S Meridian St, Greenfield, TN 38230-2104 |
| David J Wilbert | Physician Assistant | Pa Corporate Enterprises, LLP | 801 S Meridian St, Greenfield, TN 38230-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Bynum | Optometry | 220 N Front St, Greenfield, TN 38230-1518 | |
| Lesa K Edwards-davidson | Family Medicine | 230 N Front St, Greenfield, TN 38230-1518 | |
| Adam D Clark | Physical Therapy | Dynamix Physical Therapy LLC | 405 N Front St, Greenfield, TN 38230-1531 |
| Anna Callins | Physical Therapy | Dynamix Physical Therapy LLC | 405 N Front St, Greenfield, TN 38230-1531 |
| City | GREENFIELD |
| Zip Code | 38230 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GREENFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Samantha Lynn Davidson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.