SAMUEL RHODES MASSEY M.D
NPI 1619767548
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since May 12, 2025PECOS Enrolled
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 603-1595 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Rhodes Massey M.d NPPES

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

SAMUEL RHODES MASSEY M.D (NPI 1619767548) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619767548
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL RHODES MASSEYCredential: M.D
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address164 Black Thorn DrJonesborough, TN 37659-4792 · (423) 676-3774
Sole ProprietorNo
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
NPI 1619767548 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.
4301 W MARKHAM ST, Little Rock, AR 72205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Rhodes Massey M.d 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.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

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 Massey's NPI number?

The NPI number for Samuel Massey is 1619767548. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Samuel Massey located?

Samuel Massey practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 603-1595.

What is Samuel Massey'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 Massey enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Massey was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.