1. Home
  2. Directory
  3. North Carolina
  4. Sanford
  5. Physician Assistant
  6. NPI Profile

SAMANTHA GORDON PA
NPI 1902228786
Physician Assistant in Sanford, NC

Active since January 13, 2014PECOS Enrolled
1811 PHILLIPS DR, SANFORD, NC 27330(919) 356-1278 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2018, Jun 29, 2018 (2 updates tracked since 2018).

About Samantha Gordon Pa NPPES

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

SAMANTHA GORDON PA (NPI 1902228786) is an individual physician assistant in Sanford, North Carolina, licensed in North Carolina (0010-04730) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902228786
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA GORDONCredential: PA
Location Address1811 PHILLIPS DRSanford, NC 27330
Mailing Address119 Eagles Nest DrDurham, NC 27712-2990 · (919) 356-1278
Phone(919) 356-1278
Sole ProprietorNo
Enumeration DateJanuary 13, 2014
Last NPPES UpdateJuly 2, 20182 updates tracked since enumeration
✔ NPI 1902228786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-04730
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1811 PHILLIPS DR, Sanford, NC 27330
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 Gordon Pa 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services89 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 Gordon's NPI number?

The NPI number for Samantha Gordon is 1902228786. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Where is Samantha Gordon located?

Samantha Gordon practices at 1811 Phillips Dr, Sanford, NC 27330. The listed phone number is (919) 356-1278.

What is Samantha Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Gordon was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.