1. Home
  2. Directory
  3. Mississippi
  4. Clinton
  5. Nurse Practitioner
  6. NPI Profile

SAMANTHA CLARK NP-C
NPI 1841682044
Nurse Practitioner - Family in Clinton, MS

Active since February 24, 2015PECOS Enrolled
1505 CLINTON BUSINESS PARK DR, CLINTON, MS 39056(601) 202-3965(601) 510-9747 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 18, 2025, Nov 25, 2019 (2 updates tracked since 2019).

About Samantha Clark Np-c NPPES

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

SAMANTHA CLARK NP-C (NPI 1841682044) is an individual family provider in Clinton, Mississippi, licensed in Mississippi (R874456) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841682044
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA CLARKCredential: NP-C
Location Address1505 CLINTON BUSINESS PARK DRClinton, MS 39056-4443
Mailing Address1505 Clinton Business Park DrClinton, MS 39056-4443 · (601) 202-3965 · Fax (601) 510-9747
Phone(601) 202-3965
Fax(601) 510-9747
Sole ProprietorNo
Enumeration DateFebruary 24, 2015
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1841682044 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 MS · R874456
1505 CLINTON BUSINESS PARK DR, Clinton, MS 39056
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Clark Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39056 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.

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 Clark's NPI number?

The NPI number for Samantha Clark is 1841682044. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Samantha Clark located?

Samantha Clark practices at 1505 Clinton Business Park Dr, Clinton, MS 39056. The listed phone number is (601) 202-3965.

What is Samantha Clark's specialty?

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

Is Samantha Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.