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

Samantha Clark

Individual provider Nurse Practitioner · NPI 1710593462

Samantha Clark is a Nurse Practitioner in Germantown, Tennessee. Qualified in 2020, 6 years ago. Practices with Vascular and Vein Institute of the South PLLC, an 11-clinician group, works from 11 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
6
Licensed in
MS, TN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1355 W Brierbrook Rd
Germantown, TN 38138-2208
Phone: (901) 390-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 705 N State St, Clarksdale, MS 38614-6519 — (901) 390-2930
  • 405 River Rd, Greenwood, MS 38930-4212 — (901) 390-2930
  • 1300 Sunset Dr Ste P, Grenada, MS 38901-4084 — (901) 390-2930
  • 2704 W Oxford Loop Ste 110, Oxford, MS 38655-5728 — (901) 390-2930
  • 403 Getwell Dr, Senatobia, MS 38668-2213 — (901) 390-2930
  • 176 Goodman Rd W, Southaven, MS 38671-9405 — (901) 390-2930
  • 1385 W Brierbrook Rd, Germantown, TN 38138-2208 — (901) 390-2930
  • 1750 Madison Ave Ste 302, Memphis, TN 38104-6428 — (901) 390-2930
  • 1750 Madison Ave Ste 301, Memphis, TN 38104-6428 — (901) 390-2930
  • 8081 Us Highway 51 N, Millington, TN 38053-1730 — (901) 390-2930

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 32815 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 904503 (MS)

Record details

NPI number1710593462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vascular And Vein Institute Of The South Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Germantown