1. Home
  2. Directory
  3. Georgia
  4. Lagrange
  5. Physician Assistant
  6. NPI Profile

SAMANTHA DENISE POLLOCK PA-C
NPI 1053176198
Physician Assistant in Lagrange, GA

Active since February 19, 2024PECOS EnrolledAccepts Medicare Assignment
1602 VERNON RD STE 300, LAGRANGE, GA 30240(706) 803-7510 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2024, Jun 4, 2024 (2 updates tracked since 2024).

About Samantha Denise Pollock Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA DENISE POLLOCK PA-C (NPI 1053176198) is an individual physician assistant in Lagrange, Georgia, licensed in Georgia (12445) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053176198
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA DENISE POLLOCKCredential: PA-C
Location Address1602 VERNON RD STE 300Lagrange, GA 30240-4129
Mailing Address1602 Vernon Rd Ste 300Lagrange, GA 30240-4129 · (706) 803-7510
Phone(706) 803-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2024
Last NPPES UpdateSeptember 7, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1053176198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12445
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 12445 (GA)
1602 VERNON RD STE 300, Lagrange, GA 30240
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Denise Pollock Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224574207
PECOS Enrollment IDI20240725004508
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER T GEDEVANISHVILI M.D.
Internal Medicine (Cardiovascular Disease)
1602 VERNON RD STE 300
LAGRANGE, GA 30240
Troup County (706) 242-5100
CHRISTOPHER ADAM STANLEY PA-C
Physician Assistant (Medical)
1602 VERNON RD STE 300
LAGRANGE, GA 30240
Troup County (706) 242-5100
DR. VALERY SAMMAH EFFOE MD, MS
Internal Medicine (Interventional Cardiology)
1602 VERNON RD STE 300
LAGRANGE, GA 30240
Troup County (706) 242-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Pollock's NPI number?

The NPI number for Samantha Pollock is 1053176198. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Samantha Pollock located?

Samantha Pollock practices at 1602 Vernon Rd Ste 300, Lagrange, GA 30240. The listed phone number is (706) 803-7510.

What is Samantha Pollock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Pollock enrolled in Medicare?

Yes. Samantha Pollock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Pollock accept?

Health plans from Alliant Health Plans, Inc. list Samantha Pollock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Pollock affiliated with any hospitals?

According to CMS data, Samantha Pollock is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Pollock was last updated on September 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.