DR. SAMANTHA SUE SELLERS (NPI# 1306476759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306476759 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA SUE SELLERS |
| Credential | PA |
| Practice Address |
100 Airport Rd Kinston NC 28501-1604 |
| Mailing Address |
3613 Coughlin Ct Greenville NC 27834-5979 |
| Practice Telephone | 2525227000 |
| Mailing Telephone | 9043143891 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 0010-9729 | NC | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 0010-9729 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3613 Coughlin Ct, Greenville, NC 278345979 | 9043143891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184076614 | Samantha Brooke Sellers | Chiropractor | 1013 Highlander Dr, Raleigh, NC 27603-8573 | 2016-07-08 |
| 1790142321 | Samantha Sellers | Physical Therapist | 1594 Metropolitan Ave, Bronx, NY 10462-6858 | 2016-01-27 |
| 1831671858 | Samantha Sellers | Occupational Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2018-09-06 |
| Street Address |
100 AIRPORT RD |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455329 | Preecha Bhotiwihok | Anesthesiology | 100 Airport Rd, Kinston, NC 28501-1604 | 2005-05-24 |
| 1598366338 | Gail Marie Hardee | Physical Therapist | 100 Airport Rd, Kinston, NC 28501-1604 | 2020-11-06 |
| 1114528411 | David Benton | Physical Therapist | 100 Airport Rd, Kinston, NC 28501-1604 | 2020-11-03 |
| 1366043788 | Peter Balent | Occupational Therapist | 100 Airport Rd, Kinston, NC 28501-1604 | 2020-11-03 |
| 1063025179 | Holly Belote | Registered Nurse | 100 Airport Rd, Kinston, NC 28501-1604 | 2020-08-28 |
| 1366098816 | Briana Jamison Stillwell | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2019-08-12 |
| 1679050249 | Melanie Katherine Williams | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2018-07-25 |
| 1396221461 | Elizabeth Quinn | Dietitian, Registered | 100 Airport Rd, Kinston, NC 28501-1604 | 2018-07-12 |
| 1861931180 | Alexander Slonopas | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2017-02-20 |
| 1770038796 | Jacqueline Herpich | Dietitian, Registered | 100 Airport Rd, Kinston, NC 28501-1604 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1952630253 | Danielle Catherine Tuminello | Physician Assistant | 111 Airport Rd, Kinston, NC 28501-1603 | 2009-12-15 |
| 1740361369 | Heather Erin Tyndall | Physician Assistant | 744 Airport Road, Kinston, NC 28504-8800 | 2006-10-18 |
| 1366557472 | Michael Shutak II | Physician Assistant | 2601 N Herritage St, Kinston, NC 28501-1502 | 2006-08-20 |
| 1366098816 | Briana Jamison Stillwell | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2019-08-12 |
| 1679050249 | Melanie Katherine Williams | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2018-07-25 |
| 1861931180 | Alexander Slonopas | Physician Assistant | 100 Airport Rd, Kinston, NC 28501-1604 | 2017-02-20 |
| 1679940258 | Ashley Dawn Eubanks | Physician Assistant | 100 Airport Rd, Kinston, NC 28501 | 2015-08-30 |
| 1639570153 | Jonathan Scott Yankes | Physician Assistant | 100 Airport Rd, Emergency Department, Kinston, NC 28501-1604 | 2014-09-16 |
| 1730404880 | Amy Maples Kornegay | Physician Assistant | 107 Airport Rd, Kinston, NC 28501-1603 | 2010-04-01 |
| Find all providers in KINSTON | ||||
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| 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.