Samantha L. Gullett, ATC, LAT, OTC, PA-C
NPI 1841888773ActiveIndividual· Physician Assistant· Lake Worth, FL
Physician Assistant (ATC, LAT, OTC, PA-C) in Lake Worth, Florida, licensed in FL, with an NPI issued in January 2021. Enrolled in Medicare as practitioner - physician assistant. Lists Adventhealth Fish Memorial as a hospital affiliation.
Overview
| NPI | 1841888773 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATC, LAT, OTC, PA-C |
| Sole proprietor | No |
| NPI issued | Jan 6, 2021 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AL5559 | FL |
| Specialist/Technologist, Other, Orthopedic Assistant | 246ZX2200X | 201116 | FL |
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 - Physician Assistant (FL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliation
- Adventhealth Fish MemorialOrange City, FL
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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