SAMANTHA NICOLE PUGH
NPI 1629874201
Nurse Practitioner - Family in Flowood, MS

Q: What is Samantha Pugh's NPI number?

The NPI number for Samantha Pugh is 1629874201. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Q: What is Samantha Pugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Pugh was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment

778 LIBERTY RD, FLOWOOD, MS 39232(205) 300-5567(601) 914-9620 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, May 8, 2025, Feb 24, 2025 (3 updates tracked since 2025).

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About Samantha Nicole Pugh NPPES

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

SAMANTHA NICOLE PUGH (NPI 1629874201) is an individual family provider in Flowood, Mississippi, licensed in Alabama (1-144959) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629874201

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA NICOLE PUGH

Location Address778 LIBERTY RDFlowood, MS 39232-9300

Mailing Address778 Liberty RdFlowood, MS 39232-9300 · (205) 300-5567 · Fax (601) 914-9620

Phone(205) 300-5567

Fax(601) 914-9620

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 24, 2025

Last NPPES UpdateJune 3, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1629874201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-144959

778 LIBERTY RD, Flowood, MS 39232

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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 Pugh 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 ID2567988793

PECOS Enrollment IDI20250430001377

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

DAKOTA KILPATRICK

Nurse Practitioner (Family)