Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Carole Pernell

Individual provider Nurse Practitioner · NPI 1104515162

Samantha Carole Pernell is a Nurse Practitioner in Henderson, North Carolina. Qualified in 2023, 3 years ago. Practices with Dlp Maria Parham Physician Practices LLC, a 53-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023

Practice location Address checks out

511 Ruin Creek Rd
Henderson, NC 27536-5919
Phone: (252) 436-0440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 287819 (NC)

Record details

NPI number1104515162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dlp Maria Parham Physician Practices Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Henderson