Samantha Clark Ross (NPI# 1700089893, PAC ID# 1658495908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700089893 |
| PAC ID by PECOS | 1658495908 |
| Professional Enrollment ID | I20100824000591 |
| Full Name | Samantha Clark Ross |
| Organization Legal Name | WADDELL CENTER FAMILY MEDICINE |
| Address |
902 W Washington St Athens AL 35611-2438 |
| Phone Number | 2562169777 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577832542 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010079 | ATHENS LIMESTONE HOSPITAL |
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 902 W Washington St, Athens, AL 35611-2438 | 2562169777 | WADDELL CENTER FAMILY MEDICINE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | WADDELL CENTER FAMILY MEDICINE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa C Gray | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| William Woodall | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| Lindsey Smith | Nurse Practitioner | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| Jaclyn Collie | Nurse Practitioner | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| Street Address |
902 W WASHINGTON ST |
| City | ATHENS |
| State | AL |
| Zip | 35611-2438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa C Gray | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| William Woodall | Family Medicine | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| Lindsey Smith | Nurse Practitioner | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| Jaclyn Collie | Nurse Practitioner | Waddell Center Family Medicine | 902 W Washington St, Athens, AL 35611-2438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Lynn Pool | Family Medicine | 611 W Market St, Athens, AL 35611-0001 | |
| Albert H Scherff | Preventative Medicine | 902 W Hobbs St, Athens, AL 35611-1412 | |
| Stanley F Smallwood | Nurse Practitioner | 910 W Hobbs St, Athens, AL 35611-1412 | |
| Eduardo Bazan Lavanda | Internal Medicine | 205 Sanders St, Athens, AL 35611-1419 | |
| Shashanna Ndong | Internal Medicine | Valley Internal Medicine | 710 W Hobbs St, Athens, AL 35611-1508 |
| Paul E Noel | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
| Cassidy J Koonce | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
| Seth D Rayburn | General Surgery | 201 N Malone St, Athens, AL 35611-1509 | |
| Lorie M Hedgepeth | Chiropractic | 613 E Hobbs St, Athens, AL 35611-2150 | |
| Nancy D Mcdonald | Clinical Social Worker | Foundations Counseling Center, Inc. | 100 Hine S St, Athens, AL 35611-2302 |
| Find all physicians in zip 35611 | |||
| City | ATHENS |
| Zip Code | 35611 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATHENS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samantha Clark Ross.
| 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.