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

Samantha Demoss

Individual provider Surgery Physician · NPI 1629605480

Samantha Demoss is a Surgery Physician in Mooresville, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2020.

Licensed in
IL, IN
In the registry since
2020
Specialties on file
3

Practice location Address checks out

1215 Hadley Rd Ste 201
Mooresville, IN 46158-2907
Phone: (317) 834-9618
Fax: (317) 831-9467
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.075907 (IL)
Surgery Physician Taxonomy 208600000X · Licence 01095693B (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629605480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address1215 Hadley Rd Ste 201, Mooresville, IN 46158-2907

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