Kathryn B Samples, PA-C - Medicare Physician Assistant in Carrollton, GA

Kathryn B Samples, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Carrollton, Georgia. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tanner Medical Group and her current practice location is 157 Clinic Ave, Suite 302, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 834-3336.

Kathryn B Samples is licensed to practice in Georgia (license number 003055) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386628790.

Contact Information

Kathryn B Samples, PA-C
157 Clinic Ave, Suite 302,
Carrollton, GA 30117-4413
(770) 834-3336
(770) 832-2136

Map and Direction




Provider's Profile

Full NameKathryn B Samples
GenderFemale
SpecialityPhysician Assistant
Experience27 Years
Location157 Clinic Ave, Carrollton, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn B Samples graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1386628790
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 01/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5193735587
  • Enrollment ID: I20060501000030

Medical Identifiers

Medical identifiers for Kathryn B Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386628790NPI-NPPES
100000202AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 003055 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tanner Medical Center - CarrolltonCarrollton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tanner Medical Group276953614398

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. Kathryn B Samples is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn B Samples, PA-C
119 Ambulance Dr, Suite 202,
Carrollton, GA 30117-3857

Ph: (770) 838-8710
Kathryn B Samples, PA-C
157 Clinic Ave, Suite 302,
Carrollton, GA 30117-4413

Ph: (770) 834-3336

Reviews and Comments


Physician Assistant Nurses in Carrollton, GA

Mr. David J Scholl, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 157 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-333-2220    Fax: 678-581-7180
Sydney Hope Stone,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-812-9666    
David Allen Scruggs, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117
Phone: 770-834-0873    
Brittney Buice,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 212 Meadow Run, Carrollton, GA 30116
Phone: 678-615-0531    
Timothy Echols, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Radha Patel,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 909 S Park St, Carrollton, GA 30117
Phone: 678-782-9994    
Sarah Nowicki, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 157 Clinic Ave Ste 302c, Carrollton, GA 30117
Phone: 770-834-3336    

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.