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

Samuel Grady Putnam, MD

Individual provider Diagnostic Radiology Physician · NPI 1023066404

Samuel Grady Putnam, MD is an Interventional Radiology in Southaven, Mississippi. Qualified in 1986, 40 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Delaware, Hawaii, Mississippi and New Jersey and 2 more.

Years since qualifying
40
Licensed in
DE, HI, MS, NJ, PA, TN
In the registry since
2006
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

55 Physicians Ln
Southaven, MS 38671-9569
Phone: (662) 655-2136
Fax: (662) 996-2214
Show map & directions

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

Additional practice locations (3)

  • 1120 15th St, Augusta, GA 30912-9569 — (706) 721-8623
  • 1 Capital Way, Pennington, NJ 08534-2520 — (609) 303-4000
  • 750 Brunswick Ave, Trenton, NJ 08638-4143 — (609) 394-6000

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 28916 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA09575600 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD041221E (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence C1-0011573 (DE)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD041221E (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 25MA09575600 (NJ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 63241 (TN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD-23034 (HI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence C1-0011573 (DE)

Record details

NPI number1023066404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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