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

Samantha Russo

Individual provider Physician Assistant · NPI 1760260772

Samantha Russo is a Physician Assistant in Charlotte, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2023, 3 years ago. Practices with Carolina Family Healthcare, PA, a 6-clinician group.

Years since qualifying
3
Trained at
Medical University of South Carolina College of Medicine
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11220 Elm Ln Ste 102
Charlotte, NC 28277-0716
Phone: (704) 847-4000
Fax: (704) 847-4001
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760260772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Carolina Family Healthcare, Pa — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Charlotte