SAMANTHA NICOLE GLENN ETHEREDGE
NPI 1386221844
Family Medicine - Sports Medicine in Pascagoula, MS
About Samantha Nicole Glenn Etheredge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA NICOLE GLENN ETHEREDGE (NPI 1386221844) is an individual sports medicine provider in Pascagoula, Mississippi, licensed in Mississippi (35673) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Singing River Health System, and is a graduate of Alabama College Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Accepted 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 Nicole Glenn Etheredge 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Singing River Health System
Acute Care Hospitals · Pascagoula, MSSinging River Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39581 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASCAGOULA, MS 39581
PASCAGOULA, MS 39581
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 Glenn Etheredge's NPI number?
The NPI number for Samantha Glenn Etheredge is 1386221844. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Samantha Glenn Etheredge located?
Samantha Glenn Etheredge practices at 3101 Denny Ave Ste 240, Pascagoula, MS 39581. The listed phone number is (228) 872-1951.
What is Samantha Glenn Etheredge's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Samantha Glenn Etheredge enrolled in Medicare?
Yes. Samantha Glenn Etheredge 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 Glenn Etheredge accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Samantha Glenn Etheredge 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 Glenn Etheredge affiliated with any hospitals?
According to CMS data, Samantha Glenn Etheredge is affiliated with Singing River Health System and Singing River Gulfport.
When was this NPI record last updated?
The NPPES record for Samantha Glenn Etheredge was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
