Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134233141 Deactivated / Inactive NPI Male Practitioner

Samuel Alfonso Herring , PHYSICIAN ASSISTANT

Physician Assistant • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samuel Herring has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date July 29, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Samuel Herring, PHYSICIAN ASSISTANT was a registered Physician Assistant practicing in Memphis, TN. Throughout an active medical career spanning 16 years, Samuel Herring provided care at the practice location at 1030 JEFFERSONAVE. until profile deactivation on 2022-07-29.

Practice Location & Contact Primary Location

Practice Address

1030 Jeffersonave.

Memphis, TN 38104

Telephone 9015238990
Associated Practice Facility / Clinic
🏢 Va Medical Center Facility NPI 1760420426

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
194 Specialists

Practicing in Memphis, TN (3096 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

40 Associated Practitioners
Deborah Kartheiser , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003075268

Registered Nurse

Kenyetta Mcintosh-Jones , LCSW

Social Worker - Clinical

NPI 1003139635

Licensed Clinical Social Worker

NPI 1003195074

Doctor of Pharmacy (Pharm.D.)

Penelope Bland

Pharmacist

NPI 1003287335
Maxwell Mcclure , PT

Physical Medicine & Rehabilitation

NPI 1003501990

Physical Therapist

Martine Johnson , LMSW

Social Worker - Clinical

NPI 1003526823

Licensed Master Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 29, 2022

Record deactivated on July 29, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1030 JEFFERSONAVE., MEMPHIS, TN 38104 (Tel: 9015238990)

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Updated Business Mailing Address July 08, 2007

Registered at 484 HAYNES ST, MEMPHIS, TN 381112313 (Tel: 9013234297)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL HERRING, PHYSICIAN ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

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Initial NPI Registration & Enumeration August 18, 2006

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: 1134233141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: July 29, 2022

Mailing Address

484 Haynes St

Memphis, TN 381112313

Phone: 9013234297

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.