MRS. SAMANTHA LYNN DAVIDSON (PA-C) – Physician Assistant, NPI 1831484179

MRS. SAMANTHA LYNN DAVIDSON (PA-C) is a healthcare provider. based in Murray, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MRS. SAMANTHA LYNN DAVIDSON (PA-C) is 1831484179

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA LYNN DAVIDSON (PA-C)
NPI
1831484179
Phone
(270) 762-1542
Address
300 S 8TH ST STE 480W
Enumeration Date
15 June 2011
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7312855133
Graduation Year
2011 (15 years ago)
PAC ID
0749427482
Group Practice PAC ID
1951650613
Professional Enrollment ID
I20150922002864
Address ID
TN380242085DY420XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:14State licenses:0Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MRS. SAMANTHA LYNN DAVIDSON (PA-C)

  • 300 S 8TH ST STE 480W

    MURRAY, KY 420712403

    Phone: (270) 762-1542

    Fax: (270) 752-2856

    Type: Mailing

  • 300 S 8TH ST STE 284W

    MURRAY, KY 42071

    Phone: (270) 762-1542

    Fax: (270) 752-2856

    Type: Location

  • 14201 US-79 N UNIT 4

    BUCHANAN, TN 38222

    Phone: (731) 407-7013

    Fax: (731) 407-7019

    Type: Location

  • 301 TYSON AVE

    PARIS, TN 382424544

    Phone: (731) 642-1220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($74).

Total Amount

$107

General + Research + Ownership

Payments

7

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150922002864IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes208135$0
36415Insertion of needle into vein for collection of blood sample9375$0
99213Established patient office or other outpatient visit, 20-29 minutes7450$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
96372Injection of drug or substance under skin or into muscle3622$0
View full utilization report →

Insurance plans in this area (ZIP 42071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951650613View full group profile
NameSpecialtyState
Family PracticeTN
Internal MedicineTN
Nurse PractitionerTN
General SurgeryNE
Family PracticeWY
-TN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
G A S T R O E N T E R O L O G YWA

Reviews

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Frequently asked questions

How is MRS. SAMANTHA LYNN DAVIDSON (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. SAMANTHA LYNN DAVIDSON (PA-C) with NPI 1831484179.
Does CMS list MRS. SAMANTHA LYNN DAVIDSON (PA-C) as active?
Yes — MRS. SAMANTHA LYNN DAVIDSON (PA-C) is active in the NPI listing used on this page.
What is MRS. SAMANTHA LYNN DAVIDSON (PA-C) best known for clinically?
Directory data describes MRS. SAMANTHA LYNN DAVIDSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. SAMANTHA LYNN DAVIDSON (PA-C) on a map?
Expect Murray, Kentucky as a primary anchor for MRS. SAMANTHA LYNN DAVIDSON (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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