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SAMANTHA BROWN
NPI 1104665140
Physician Assistant in Myrtle Beach, SC

Active since May 20, 2024PECOS Enrolled
1021 CIPRIANA DR STE 250, MYRTLE BEACH, SC 29572(563) 333-5827 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Brown NPPES

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

SAMANTHA BROWN (NPI 1104665140) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (6295) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104665140
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA BROWN
Location Address1021 CIPRIANA DR STE 250Myrtle Beach, SC 29572-4621
Mailing Address1021 Cipriana Dr Ste 250Myrtle Beach, SC 29572-4621
Phone(563) 333-5827
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 20, 2024
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1104665140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 6295
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.
1021 CIPRIANA DR STE 250, Myrtle Beach, SC 29572
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Brown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426524950
PECOS Enrollment IDI20260421003057
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

JANET E HARRIS-HICKS M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1021 CIPRIANA DR STE 250
MYRTLE BEACH, SC 29572
Horry County (910) 330-9080
JILLIAN ABIGAIL BENTON FNP-BC
Nurse Practitioner
1021 CIPRIANA DR STE 250
MYRTLE BEACH, SC 29572
Horry County (843) 895-2120
SOUTHERN SHORES UROGYNECOLOGY AND PELVIC RECONSTRUCTIVE SURGERY PC
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1021 CIPRIANA DR STE 250
MYRTLE BEACH, SC 29572
Horry County (843) 895-2120

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 Brown's NPI number?

The NPI number for Samantha Brown is 1104665140. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Samantha Brown located?

Samantha Brown practices at 1021 Cipriana Dr Ste 250, Myrtle Beach, SC 29572. The listed phone number is (563) 333-5827.

What is Samantha Brown's specialty?

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

Is Samantha Brown enrolled in Medicare?

Yes. Samantha Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Brown was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.