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

Samantha Manni

Individual provider Physician Assistant · NPI 1265043806

Samantha Manni is a Physician Assistant in Madison Heights, Michigan. Qualified in 2020, 6 years ago. Practices with Southfield City Urgent Care PC, a 21-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020

Practice location Address checks out

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone: (248) 716-8600
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009957 (MI)

Record details

NPI number1265043806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2020
Last updated in NPPESAugust 16, 2020
Certification dateAugust 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southfield City Urgent Care Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Madison Heights