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DR. SAMUEL L. FORT
NPI 1841254166
Legal Medicine in Salisbury, NC

Active since April 13, 2006
203B MOCKSVILLE AVE, SALISBURY, NC 28144(704) 636-0971(704) 636-8854 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Samuel L. Fort NPPES

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

DR. SAMUEL L. FORT (NPI 1841254166) is an individual legal medicine provider in Salisbury, North Carolina, licensed in North Carolina (9501242) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1841254166
Entity TypeIndividualMale
Primary Taxonomy173000000X
Provider Legal NameDR. SAMUEL L. FORT
Location Address203B MOCKSVILLE AVESalisbury, NC 28144-3325
Mailing AddressPo Box 2145, 203 B Mocksville AvenueSalisbury, NC 28145-2145 · (704) 636-0971 · Fax (704) 636-8554
Phone(704) 636-0971
Fax(704) 636-8854
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1841254166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in NC · 9501242
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
203B MOCKSVILLE AVE, Salisbury, NC 28144
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Other Identifiers 2

Other33148Bcbs
Medicaid8933148NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel L. Fort is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Epiphany Dermatology PA
1,005 mi
Dermatology
7106 SANGER AVENUE
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 104 clinicians in this Medicare group
NPI 1043615263 (254) 537-1265

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

Other Providers at the Same Location NPPES

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

DR. SANDRA L SWANSON M. D.
Legal Medicine
203B MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 636-0971

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 Fort's NPI number?

The NPI number for Samuel Fort is 1841254166. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Samuel Fort located?

Samuel Fort practices at 203B Mocksville Ave, Salisbury, NC 28144. The listed phone number is (704) 636-0971.

What is Samuel Fort's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Samuel Fort enrolled in Medicare?

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

Which organization bills Medicare for Samuel Fort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Fort reassigns Medicare benefits to Epiphany Dermatology PA (Waco, TX). 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 Samuel Fort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Fort accept?

Health plans from CHRISTUS Health Plan and Imperial Insurance Companies, Inc. list Samuel Fort as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Fort was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.