Provider Demographics
NPI:1255684353
Name:SINGER, SAMANTHA FAY (PA-C)
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:FAY
Last Name:SINGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 BINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9951
Mailing Address - Country:US
Mailing Address - Phone:717-516-2162
Mailing Address - Fax:
Practice Address - Street 1:1248 HUFFMAN MILL RD STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-890-3390
Practice Address - Fax:336-890-3391
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-08229363AM0700X, 363A00000X
DEC5-0000853363AS0400X
PAMA056312363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103382813Medicaid