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

Samantha Danielle Statham, NP

Individual provider Nurse Practitioner · NPI 1568291672

Samantha Danielle Statham, NP is a Nurse Practitioner in Richland, Mississippi. Qualified in 2024, 2 years ago. Practices with Medical Systems Management, LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
2
Licensed in
MS, TN
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

129 Center St Ste B
Richland, MS 39218-4800
Phone: (769) 233-7141
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 37098 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 906894 (MS)

Record details

NPI number1568291672
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Systems Management, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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