MS. SAMANTHA SMITH (NPI# 1174163620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174163620 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA SMITH |
| Credential | AGNP-C |
| Practice Address |
122 E Academy St Canton MS 39046-4502 |
| Mailing Address |
126 Hartfield Dr Madison MS 39110-6544 |
| Practice Telephone | 6018598992 |
| Practice Fax Number | 6018595573 |
| Mailing Telephone | 6019469650 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
903674 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Woodrow Wilson Ave, Jackson, MS 392165116 | 6013624471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1548742398 | Samantha Blaire Smith | Specialist/Technologist | 1946 Tennyson Ave Ne, Massillon, OH 44646-2600 | 2018-08-29 |
| 1831683267 | Samantha Smith | Physical Therapy Assistant | 334 Crandall Way, Spartanburg, SC 29301-5372 | 2018-06-19 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1912366246 | Samantha Michelle Smith | Specialist/Technologist | 2305 Milan Rd, Sandusky, OH 44870-4997 | 2016-02-15 |
| 1972977338 | Samantha Marie Smith | Nurse Practitioner | 9219 Cypresswood Cir, Tampa, FL 33647-2431 | 2015-11-23 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1386991586 | Samantha Paige Smith | Case Manager/Care Coordinator | 902 S. Myrtle Ave., Monrovia, CA 91016 | 2012-08-07 |
| Street Address |
122 E ACADEMY ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879126 | Katina Grant | Nurse Practitioner | 122 E Academy St, Canton, MS 39046 | 2018-07-30 |
| 1194214288 | Hicks Gynecology PC | Obstetrics & Gynecology | 122 E Academy St, Canton, MS 39046-4502 | 2018-05-04 |
| 1598908774 | L.c. Tennin, Jr M.d., P.a. | Internal Medicine | 122 E Academy St, Canton, MS 39046-4502 | 2009-04-17 |
| 1275543597 | L C Tennin Jr. | Internal Medicine | 122 E Academy St, Canton, MS 39046-4502 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277206 | Sabrita R Hopkins | Family Medicine | 133 Rivergate Cv, Ridgeland, MS 39157-1039 | 2020-08-24 |
| 1629540646 | Homebridge Health, LLC | Family Medicine | 203 Remington Dr, Brandon, MS 39042-2829 | 2019-01-02 |
| 1578082137 | Kayla Anglin Moore | Family Medicine | 4381 S Eason Blvd Ste 202, Tupelo, MS 38801-6585 | 2017-09-14 |
| 1922186535 | David D Richardson | Family Medicine | 2659 Lakeland Dr Ste C, Flowood, MS 39232-9516 | 2006-11-01 |
| 1780610444 | Saloum Cisse | Family Medicine | 119 S Oak, Suite 2, Raymond, MS 39154-4205 | 2006-06-24 |
| 1821032392 | Rachel Antonia Jones | Family Medicine | 866 Medical Plz, Jackson, MS 39204-4948 | 2006-06-15 |
| 1831150531 | Harsh Doshi | Family Medicine | 17280 Highway 17 South, Lexington, MS 39095 | 2006-03-31 |
| 1922006279 | Virgil Isaac Aultman | Family Medicine | 2747 Old Canton Rd, Jackson, MS 39216-4308 | 2005-07-11 |
| 1184222374 | Kimyuana Jackson | Family Medicine | 20 Hobo Fork Rd, Natchez, MS 39120-9025 | 2020-10-11 |
| 1659993129 | Hawkins Family Medicine, Pllc | Family Medicine | 491a Craft St, Holly Springs, MS 38635-3251 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. SAMANTHA SMITH.
| 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.