Samantha Southern, - Nurse Practitioner in King, NC

Samantha Southern, is a Nurse Practitioner - Family based in King, North Carolina. Samantha Southern is licensed to practice in North Carolina (license number F07250035) and her current practice location is 1559 Twin Oaks Dr, King, North Carolina. She can be reached at her office (for appointments etc.) via phone at (336) 403-7899.

NPI number for Samantha Southern is 1508601402 and her current mailing address is 1007 Walker Ave, Greensboro, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508601402.

Contact Information

Samantha Southern,
1559 Twin Oaks Dr,
King, NC 27021-9792
(336) 403-7899
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Southern
GenderFemale
SpecialityNurse Practitioner - Family
Location1559 Twin Oaks Dr, King, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508601402
  • Provider Enumeration Date: 07/01/2024
  • Last Update Date: 08/01/2025

Medical Identifiers

Medical identifiers for Samantha Southern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508601402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F07250035 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Southern is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Southern,
1007 Walker Ave,
Greensboro, NC 27412-0001

Ph: (336) 334-5400
Samantha Southern,
1559 Twin Oaks Dr,
King, NC 27021-9792

Ph: (336) 403-7899

Reviews and Comments


Nurse Practitioner Nurses in King, NC

Mrs. Tiffany Shante Gibson, APRN,BC, MN, RNC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    
Mrs. Michele Mariano Lizano, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 167 Moore Rd Ste 206, King, NC 27021
Phone: 336-673-6450    Fax: 336-673-6449
Stephanie Amber Freeman, PMHNP
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Medicare: Accepting Medicare Assignments
Practice Location: 202 Scenic Dr, King, NC 27021
Phone: 336-985-0625    
Brittany Bell Everett, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    
Emily Marion Fischer, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    
Jaden Moore Miethe, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 167 Moore Rd Ste 201, King, NC 27021
Phone: 336-673-6470    Fax: 336-673-6489
Caroline Yates Harbour, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 167 Moore Rd Ste 201, King, NC 27021
Phone: 336-673-6470    Fax: 336-673-6489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.