SAMANTHA DANIELLE STATHAM NP
NPI 1568291672
Nurse Practitioner in Richland, MS
About Samantha Danielle Statham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA DANIELLE STATHAM NP (NPI 1568291672) is an individual nurse practitioner in Richland, Mississippi, licensed in Tennessee (37098) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 Danielle Statham Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39218 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Statham's NPI number?
The NPI number for Samantha Statham is 1568291672. It was assigned to this individual provider in the NPPES registry on July 29, 2024. The provider is also known as Samantha Danielle Browder Rn.
Where is Samantha Statham located?
Samantha Statham practices at 129 Center St Ste B, Richland, MS 39218. The listed phone number is (769) 233-7141.
What is Samantha Statham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Statham enrolled in Medicare?
Yes. Samantha Statham 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.
When was this NPI record last updated?
The NPPES record for Samantha Statham was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Samantha Danielle Statham, NP · NPI 1568291672
Nurse Practitioner physician in Richland, Mississippi. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1568291672 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 37098 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 CENTER ST STE B, Richland, MS 39218-4800
- **Phone:** (769) 233-7141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 9, 2025
- **Other identifiers:** Other 37098 (TN); Other 906894 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1568291672) · Data from the CMS NPPES public registry.