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

Samuel Oliver Starke Irvine Jr., PA-C

Individual provider Surgical Physician Assistant · NPI 1376590059

Samuel Oliver Starke Irvine Jr., PA-C is a Physician Assistant in Montgomery, Alabama. Qualified in 1991, 35 years ago. Practices with Southern Orthopaedic Surgeons LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
35
Licensed in
AL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

454 Taylor Rd
Montgomery, AL 36117-3563
Phone: (334) 613-9000
Fax: (334) 532-0056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2871 Acton Road, Birmingham, AL 35243-2560 — (205) 939-0023

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.189 (AL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-189 (AL)

Record details

NPI number1376590059
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Southern Orthopaedic Surgeons Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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