Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659163335 Individual Practitioner Female Practitioner

Cheryl Susan Sam

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Cheryl Sam is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 2 years of clinical experience since graduating from Lincoln Memorial University Medical Department in 2024, Cheryl Sam delivers high-quality medical care to the local community at 841 PRUDENTIAL DR.

Cheryl Sam does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

841 Prudential Dr

Jacksonville, FL 322078329

Telephone 4048624654
Associated Practice Facility / Clinic
🏢 Zonecare Usa Of Delray, Llc Facility NPI 1467724344

Medicare Profile & Education

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -9.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sam (2 Years) 2 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12894

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Emmanuel Pena , DO

Pediatrics - Child Abuse Pediatrics

NPI 1063701274

Doctor of Osteopathic Medicine (D.O.)

Muhammad Tanveer Ul Haque

Student in an Organized Health Care Education/Training Program

NPI 1063873230
NPI 1063971356

Doctor of Osteopathic Medicine (D.O.)

NPI 1083176887

Master of Science, Registered Dietitian, Licensed Dietitian, N

NPI 1144511437

Doctor of Medicine (M.D.)

Dr. Amanda Cruz-Deweese , DO

Emergency Medicine - Pediatric Emergency Medicine

NPI 1184005027

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2025

Registered at 841 PRUDENTIAL DR, JACKSONVILLE, FL 322078329 (Tel: 4048624654)

📍
Updated Business Mailing Address May 20, 2025

Registered at 3110 WELLBROOK DR, LOGANVILLE, GA 300524996 (Tel: 7708628477)

👤
Provider Name / Credentials Updated May 20, 2025

Recorded as CHERYL SAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2025

Physician Assistant (License #12894 in GA)

🟢
Initial NPI Registration & Enumeration May 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659163335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2025
Last Update: May 20, 2025
Sole Proprietor: No

Mailing Address

3110 Wellbrook Dr

Loganville, GA 300524996

Phone: 7708628477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.