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

Samantha Clark

Individual provider Nurse Practitioner · NPI 1710593462

Samantha Clark is a Nurse Practitioner in Germantown, Tennessee. Qualified in 2020, 6 years ago. Practices with Vascular and Vein Institute of the South PLLC, an 11-clinician group, works from 11 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
6
Licensed in
MS, TN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1355 W Brierbrook Rd
Germantown, TN 38138-2208
Phone: (901) 390-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 705 N State St, Clarksdale, MS 38614-6519 — (901) 390-2930
  • 405 River Rd, Greenwood, MS 38930-4212 — (901) 390-2930
  • 1300 Sunset Dr Ste P, Grenada, MS 38901-4084 — (901) 390-2930
  • 2704 W Oxford Loop Ste 110, Oxford, MS 38655-5728 — (901) 390-2930
  • 403 Getwell Dr, Senatobia, MS 38668-2213 — (901) 390-2930
  • 176 Goodman Rd W, Southaven, MS 38671-9405 — (901) 390-2930
  • 1385 W Brierbrook Rd, Germantown, TN 38138-2208 — (901) 390-2930
  • 1750 Madison Ave Ste 302, Memphis, TN 38104-6428 — (901) 390-2930
  • 1750 Madison Ave Ste 301, Memphis, TN 38104-6428 — (901) 390-2930
  • 8081 Us Highway 51 N, Millington, TN 38053-1730 — (901) 390-2930

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 32815 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 904503 (MS)

Record details

NPI number1710593462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address1375 W Brierbrook Rd, Germantown, TN 38138-2208

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vascular And Vein Institute Of The South Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Germantown