SAMANTHA LAKE HOLLIS DO
NPI 1427408855
Family Medicine in Easley, SC

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
69.98/100
CMS Quality Rating
764 SACO LOWELL RD, EASLEY, SC 29640(864) 855-5525 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 23, 2023, Apr 21, 2020, Jun 16, 2016 (3 updates tracked since 2016).

About Samantha Lake Hollis Do NPPES

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

SAMANTHA LAKE HOLLIS DO (NPI 1427408855) is an individual family medicine provider in Easley, South Carolina, licensed in South Carolina (83048) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Cannon Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427408855
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA LAKE HOLLISCredential: DO
Location Address764 SACO LOWELL RDEasley, SC 29640-3880
Mailing Address764 Saco Lowell RdEasley, SC 29640-3880 · (864) 855-5525
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
NPI 1427408855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 83048
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
764 SACO LOWELL RD, Easley, SC 29640

Other Names 1

Former Name (1)Samantha Ann Lake Do

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Lake Hollis Do 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 ID8426346271
PECOS Enrollment IDI20200610002896
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
372 services208 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
348 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
208 services161 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
82 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services63 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
60 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420015
Location200 Fleetwood DriveEasley, SC 29640 · Pickens County
Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29640 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
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.69
Improvement Activities40
Cost48.36

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$184.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
764 SACO LOWELL RD
EASLEY, SC 29640
Nurse Practitioner (Family)
764 SACO LOWELL RD
EASLEY, SC 29640
Physician Assistant (Medical)
764 SACO LOWELL RD
EASLEY, SC 29640
Nurse Practitioner (Family)
764 SACO LOWELL RD
EASLEY, SC 29640
Internal Medicine
764 SACO LOWELL RD
EASLEY, SC 29640
Internal Medicine
764 SACO LOWELL RD
EASLEY, SC 29640

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 Hollis's NPI number?

The NPI number for Samantha Hollis is 1427408855. It was assigned to this individual provider in the NPPES registry on June 16, 2016. The provider is also known as Samantha Ann Lake Do.

Where is Samantha Hollis located?

Samantha Hollis practices at 764 Saco Lowell Rd, Easley, SC 29640. The listed phone number is (864) 855-5525.

What is Samantha Hollis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Hollis enrolled in Medicare?

Yes. Samantha Hollis 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 Hollis accept?

Health plans from BlueCross BlueShield of South Carolina list Samantha Hollis 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 Hollis affiliated with any hospitals?

According to CMS data, Samantha Hollis is affiliated with Cannon Memorial Hospital, Prisma Health Baptist Easley Hospital and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Hollis was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.