SAMANTHA DURHAM IDMT
NPI 1861375768
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA

Active since July 28, 2025
3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

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

About Samantha Durham Idmt NPPES

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

SAMANTHA DURHAM IDMT (NPI 1861375768) is an individual independent duty medical technicians provider in Moody Afb, Georgia and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1861375768
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameSAMANTHA DURHAMCredential: IDMT
Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-2778
Sole ProprietorNo
Enumeration DateJuly 28, 2025
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1861375768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
3278 MITCHELL BLVD, Moody Afb, GA 31699

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.

Pediatrics
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Dentist (General Practice)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Psychologist (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699

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 Durham's NPI number?

The NPI number for Samantha Durham is 1861375768. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Samantha Durham located?

Samantha Durham practices at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.

What is Samantha Durham's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Samantha Durham was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.