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SAMAI SUPAN M.D.
NPI 1861451569
Family Medicine - Adult Medicine in Okatie, SC

Active since March 21, 2006PECOS Enrolled
719 OKATIE HWY # 170, OKATIE, SC 29909(843) 987-7400(843) 987-5135 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samai Supan M.d. NPPES

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

SAMAI SUPAN M.D. (NPI 1861451569) is an individual adult medicine provider in Okatie, South Carolina, licensed in South Carolina (11283) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861451569
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameSAMAI SUPANCredential: M.D.
Location Address719 OKATIE HWY # 170Okatie, SC 29909-3963
Mailing Address154 Spanish Point DrBeaufort, SC 29902-6126 · (843) 525-6569
Phone(843) 987-7400
Fax(843) 987-5135
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1861451569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in SC · 11283
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
719 OKATIE HWY # 170, Okatie, SC 29909
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Other Identifiers 1

Other11283SC · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samai Supan M.d. 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 Samai Supan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaufort Jasper Hampton Comprehensive Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
719 N OKATIE HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1649276148 (843) 987-7400

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 29909 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

JAYLN A LAWRENCE LPC
Counselor (Professional)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
CHANDA TRISHAUNE ELZIE MEDLOCK D.D.S.
Dentist (General Practice)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
LEIGH JACOBS AGPCNP
Nurse Practitioner (Adult Health)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
CONSTANCE A POPE NURSE PRACTITIONER
Nurse Practitioner (Family)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
CHRISTOPHER A HITCHMAN
Nutritionist (Nutrition, Education)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
ANNA NICOLE GRAY FNP-BC
Nurse Practitioner (Family)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
SUSAN ANNE MILLS TUCKER RD LD CDE
Dietitian, Registered
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400
DR. ARLENE MARTIN DDS
Dentist (Pediatric Dentistry)
719 OKATIE HWY # 170
OKATIE, SC 29909
Beaufort County (843) 987-7400

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 Samai Supan's NPI number?

The NPI number for Samai Supan is 1861451569. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Samai Supan located?

Samai Supan practices at 719 Okatie Hwy # 170, Okatie, SC 29909. The listed phone number is (843) 987-7400.

What is Samai Supan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Samai Supan enrolled in Medicare?

Yes. Samai Supan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samai Supan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samai Supan reassigns Medicare benefits to Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, SC). 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 Samai Supan'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 Samai Supan was last updated on March 10, 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.