SAMUEL SHORT MD
NPI 1689363558
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Samuel Short's NPI number?

The NPI number for Samuel Short is 1689363558. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Q: What is Samuel Short's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Short was last updated on May 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2023PECOS Enrolled

100 EASTOWNE DR, CHAPEL HILL, NC 27514(984) 974-4462 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Short Md NPPES

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

SAMUEL SHORT MD (NPI 1689363558) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689363558

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL SHORTCredential: MD

Location Address100 EASTOWNE DRChapel Hill, NC 27514-2286

Mailing Address100 Eastowne Drive, Unc Faculty Physicians Center At EastowneChapel Hill, NC 27514

Phone(984) 974-4462

Sole ProprietorNo

Enumeration DateMay 5, 2023

NPPES CertifiedMay 5, 2023

✔ NPI 1689363558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

100 EASTOWNE DR, Chapel Hill, NC 27514

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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 (PECOS)

Samuel Short 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.