Kathryn B Samples (NPI# 1386628790, PAC ID# 5193735587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386628790 |
| PAC ID by PECOS | 5193735587 |
| Professional Enrollment ID | I20060501000030 |
| Full Name | Kathryn B Samples |
| Organization Legal Name | TANNER MEDICAL GROUP INC |
| Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3818 |
| Phone Number | 7708388710 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769536143 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110011 | TANNER MEDICAL CENTER - CARROLLTON |
| Address | Phone | Organization |
|---|---|---|
| 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 | 7708388710 | TANNER MEDICAL GROUP INC |
| 157 Clinic Ave, Carrollton, GA 30117-4454 | TANNER MEDICAL GROUP INC |
| Organization Legal Name | TANNER MEDICAL GROUP INC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin J Lewis | General Surgery | Tanner Medical Group Inc | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 |
| Ruth Anne Farrell | Obstetrics/gynecology | Tanner Medical Group Inc | 109 Professional Pl, Carrollton, GA 30117-3862 |
| Holly M Jackson | Nurse Practitioner | Tanner Medical Group Inc | 905 Dixie St, Carrollton, GA 30117-4417 |
| Emily H Turney | Obstetrics/gynecology | Tanner Medical Group Inc | 150 Henry Burson Ave, Suite 215, Carrollton, GA 30117-4466 |
| Stephen Housman Kahler | Plastic and Reconstructive Surgery | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| David G Helton | Obstetrics/gynecology | Tanner Medical Group Inc | 706 Dixie St, Suite 200, Carrollton, GA 30117-3819 |
| David W Griffin | General Surgery | Tanner Medical Group Inc | 204 Allen Memorial Dr, Suite 101, Bremen, GA 30110-2063 |
| James R Bland Iii | Radiation Oncology | Tanner Medical Group Inc | 165 Clinic Ave, Carrollton, GA 30117-4413 |
| Kenneth L Boss | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Alexander Mayer | Cardiovascular Disease (cardiology) | Tanner Medical Group Inc | 157 Clinic Ave, Carrollton, GA 30117-4454 |
| Street Address |
119 AMBULANCE DR SUITE 202 |
| City | CARROLLTON |
| State | GA |
| Zip | 30117-3818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Housman Kahler | Plastic and Reconstructive Surgery | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Ronda S Phillips | Nurse Practitioner | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Amy R Goss | Obstetrics/gynecology | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Laura L Larson | Infectious Disease | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Rajesh Mathew | Hospitalist | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Mujeeb A Jan | Cardiovascular Disease (cardiology) | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Jon Stanford | General Surgery | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Onaje D Greene | Cardiovascular Disease (cardiology) | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Thomas E Reeve | General Surgery | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Maria A Smith | Nurse Practitioner | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hermogenes B Pagsisihan | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lindsey B Roenigk | Critical Care (intensivists) | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Lauren Holcombe | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Savannah Bryanna Jackson | Nurse Practitioner | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Jeffrey S Reid | Internal Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Joseph M Jellicorse | Family Medicine | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Elizabeth K Scholl | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Suite 204, Carrollton, GA 30117 |
| Mandi C Fowler | Physician Assistant | Primary Care Group of West Georgia | 100 Professional Park, Carrollton, GA 30117 |
| James C Huff | Optometry | 702 Bankhead Hwy, Carrollton, GA 30117-1962 | |
| James Charnitski | Chiropractic | 1223 N Park St, Carrollton, GA 30117-2261 | |
| Find all physicians in zip 30117 | |||
| City | CARROLLTON |
| Zip Code | 30117 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CARROLLTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kathryn B Samples.
| 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.