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SAMANTHA Y KING MD
NPI 1639147739
Pediatrics in South Boston, VA

Active since March 14, 2006PECOS Enrolled
1627 SEYMOUR DR, SOUTH BOSTON, VA 24592(434) 575-1336(434) 575-1349 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Samantha Y King Md NPPES

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

SAMANTHA Y KING MD (NPI 1639147739) is an individual pediatrics provider in South Boston, Virginia, licensed in Virginia (0101234104) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639147739
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA Y KINGCredential: MD
Location Address1627 SEYMOUR DRSouth Boston, VA 24592-3447
Mailing Address1627 Seymour DrSouth Boston, VA 24592-3447 · (434) 575-1336 · Fax (434) 572-2063
Phone(434) 575-1336
Fax(434) 575-1349
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJanuary 31, 2020
✔ NPI 1639147739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101234104
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1627 SEYMOUR DR, South Boston, VA 24592
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Other Identifiers 3

Other62490VA · Optima
Other246295VA · Bcbs
Medicaid006738567VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Y King Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Access To Health Services, Inc
1.7 mi
Federally Qualified Health Center (FQHC)
2524 HOUGHTON AVE
South Boston, VA 24592
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1972861151 (Virginia)
  • 29 clinicians in this Medicare group
NPI 1235677634 (434) 575-1336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

HALIFAXMED, PLC
Family Medicine
1627 SEYMOUR DR
SOUTH BOSTON, VA 24592
Halifax County (434) 572-9355
THERESA GAY DUFFEY LCSW
Social Worker (Clinical)
1627 SEYMOUR DR
SOUTH BOSTON, VA 24592
Halifax County (434) 575-1336
RICHARD W DAVIS M.D.
Internal Medicine
1627 SEYMOUR DR
SOUTH BOSTON, VA 24592
Halifax County (434) 517-0611
MISS WHITNEY MINTER HARRELL FNP
Nurse Practitioner (Family)
1627 SEYMOUR DR
SOUTH BOSTON, VA 24592
Halifax County (276) 670-3300
DR. CHARLES H. PARKER JR. M. D.
Internal Medicine (Gastroenterology)
1627 SEYMOUR DR
SOUTH BOSTON, VA 24592
Halifax County (434) 572-1171

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 King's NPI number?

The NPI number for Samantha King is 1639147739. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Samantha King located?

Samantha King practices at 1627 Seymour Dr, South Boston, VA 24592. The listed phone number is (434) 575-1336.

What is Samantha King's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha King enrolled in Medicare?

Yes. Samantha King is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha King reassigns Medicare benefits to Piedmont Access To Health Services, Inc (South Boston, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha King was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.