DR. SAMUEL SPEARS LITTLEJOHN MD
NPI 1205399409
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since April 13, 2019PECOS Enrolled
2301 ERWIN RD 2ND FLOOR, DURHAM, NC 27710(919) 681-2916 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2022, Apr 13, 2019 (2 updates tracked since 2019).

About Dr. Samuel Spears Littlejohn Md NPPES

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

DR. SAMUEL SPEARS LITTLEJOHN MD (NPI 1205399409) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205399409
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL SPEARS LITTLEJOHNCredential: MD
Location Address2301 ERWIN RD 2ND FLOORDurham, NC 27710-9760
Mailing AddressPo Box 3090Durham, NC 27715-3090
Sole ProprietorNo
Enumeration DateApril 13, 2019
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 4, 2022
NPI 1205399409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2301 ERWIN RD 2ND FLOOR, Durham, NC 27710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samuel Spears Littlejohn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Samuel Littlejohn's NPI number?

The NPI number for Samuel Littlejohn is 1205399409. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Where is Samuel Littlejohn located?

Samuel Littlejohn practices at 2301 Erwin Rd 2nd Floor, Durham, NC 27710. The listed phone number is (919) 681-2916.

What is Samuel Littlejohn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Littlejohn enrolled in Medicare?

Yes. Samuel Littlejohn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Littlejohn was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.