Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386628790 Individual Practitioner Female Practitioner

Kathryn B Samples , PA-C

Physician Assistant - Surgical • Carrollton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kathryn Samples, PA-C is a certified Physician Assistant - Surgical practicing in Carrollton, GA. With approximately 29 years of clinical experience since completing medical education in 1997, Kathryn Samples delivers high-quality medical care to the local community at 157 CLINIC AVE.

Kathryn Samples is affiliated with Tanner Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, removal of gallbladder using an endoscope, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

157 Clinic Ave
Suite 302

Carrollton, GA 301174413

Telephone 7708343336
Fax 7708322136
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Carrollton, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs Matches City Avg
City Avg: 29.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Carrollton, GA (539 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samples (29 Years) 29 Yrs
Carrollton Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $319.00 $106.06
47562 Removal of gallbladder using an endoscope
12 11 $804.33 $125.39

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License GA 003055

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100000202A (GA)

Hospital & Practice Group Affiliations

Tanner Medical Group Inc

690 Dallas Hwy, Villa Rica, GA 301801263

Phone: 7708123631

Tanner Medical Group Inc

200 Allen Memorial Dr, Bremen, GA 301102012

Phone: 7708129666

Tanner Medical Group Inc

690 Dallas Hwy 207a, Villa Rica, GA 301801263

Phone: 7708125902

Tanner Medical Group Inc

157 Clinic Ave, Carrollton, GA 301174454

Tanner Medical Group Inc

705 Dixie St, Carrollton, GA 301173818

Phone: 7708129666

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1003256983

Doctor of Medicine (M.D.)

Madison Hancock , PA

Physician Assistant

NPI 1003607516

Physician Assistant

NPI 1083698096

Doctor of Medicine (M.D.)

NPI 1336193200

Doctor of Medicine (M.D.)

Sarah Nowicki , PA-C

Physician Assistant

NPI 1346085040

Physician Assistant (Certified)

NPI 1497863211

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2016

Registered at 157 CLINIC AVE, SUITE 302, CARROLLTON, GA 301174413 (Tel: 7708343336)

📍
Updated Business Mailing Address January 27, 2016

Registered at 119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 301173857 (Tel: 7708388710)

👤
Provider Name / Credentials Updated January 27, 2016

Recorded as KATHRYN SAMPLES, P.A.-C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

Physician Assistant (License #003055 in GA)

🟢
Initial NPI Registration & Enumeration November 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kathryn Samples. Be the first to share your experience!

Sign in to leave a review for Kathryn Samples

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1386628790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2005
Last Update: January 27, 2016
Sole Proprietor: No

Mailing Address

119 Ambulance Dr, Suite 202

Carrollton, GA 301173857

Phone: 7708388710

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.