SAMANTHA RAE TWIDDY (PA-C) – Physician Assistant, NPI 1205201274

SAMANTHA RAE TWIDDY (PA-C) is a healthcare provider. based in Canton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.004160 (OH). The NPI Number for SAMANTHA RAE TWIDDY (PA-C) is 1205201274

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA RAE TWIDDY (PA-C)
NPI
1205201274
Phone
Not provided
Address
2600 6TH ST SW
Enumeration Date
2 December 2015
Last Update Date
18 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304562695
Graduation Year
2014 (12 years ago)
PAC ID
5294019147
Group Practice PAC ID
2961307319
Professional Enrollment ID
I20170221002441
Address ID
OH447101702CA2600XSWXX400

Contacts

Secure Messaging
Samantha.Green@direct.aultman.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness95
Years active:10State licenses:1Other names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for SAMANTHA RAE TWIDDY (PA-C)

  • 2600 6TH ST SW

    CANTON, OH 447101702

    Phone:

    Type: Mailing

  • 2600 6th St SW

    Canton, OH 447101702

    Phone: (330) 456-2695

    Type: Location

  • 3730 TABS DR

    UNIONTOWN, OH 446859562

    Phone: (330) 568-0618

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-03-01 • Largest payer in this snapshot: CSL Behring ($50).

Total Amount

$84

General + Research + Ownership

Payments

5

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-01

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: 2017-02-21

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
I20170221002441IPhysician AssistantOHTBD

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
99284Emergency department visit with moderate level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 44710)

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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: 2961307319View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH

Reviews

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Frequently asked questions

How do I look up SAMANTHA RAE TWIDDY (PA-C) by NPI?
Use NPI 1205201274 when you need to reference SAMANTHA RAE TWIDDY (PA-C) in forms, claims, or directories.
Does this profile mean SAMANTHA RAE TWIDDY (PA-C) is currently active?
Yes — SAMANTHA RAE TWIDDY (PA-C) appears active in the national provider directory.
Does SAMANTHA RAE TWIDDY (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for SAMANTHA RAE TWIDDY (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for SAMANTHA RAE TWIDDY (PA-C)?
We surface Canton, Ohio for SAMANTHA RAE TWIDDY (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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