Samantha Clark
NPI 1710593462ActiveIndividual· Nurse Practitioner· Germantown, TN
Nurse Practitioner with Vascular and Vein Institute of the South PLLC, practicing in Germantown, Tennessee. 418 Medicare patients in 2024, $43,014 paid; nearly all of their 580 Part D prescriptions were generic (94%).
Overview
| NPI | 1710593462 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2020 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 32815 | TN |
| Nurse Practitioner | 363L00000X | 904503 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 418 |
|---|---|
| Services billed | 637 across 9 procedure codes |
| Paid by Medicare | $43,014 |
Part D prescriptions in 2024
| Prescriptions (claims) | 580 · 1,017 30-day fills |
|---|---|
| Patients | 238 |
| Total drug cost | $24,491 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Vascular and Vein Institute of the South PLLCGrenada, MS · 11 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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