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

Samantha Kaye Ethridge, PA

Individual provider Physician Assistant · NPI 1417355819

Samantha Kaye Ethridge, PA is a Physician Assistant in Waco, Texas. Graduated from University of Texas Medical Branch at Galveston in 2014, 12 years ago. Practices with Heart of Texas Community Health Center, Inc, a 108-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1800 Gurley Ln
Waco, TX 76706-4025
Phone: (254) 313-6000
Fax: (254) 313-6099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09447 (TX)

Record details

NPI number1417355819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 17, 2014
Last updated in NPPESNovember 3, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2014 (12 years in practice)
Group practice Heart Of Texas Community Health Center, Inc. — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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