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

Samuel Gordon Hathcock, PA

Individual provider Physician Assistant · NPI 1992375554

Samuel Gordon Hathcock, PA is a Physician Assistant in Celebration, Florida. Qualified in 2021, 5 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
5
Licensed in
FL, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

410 Celebration Pl Ste 300
Celebration, FL 34747-5434
Phone: (407) 894-4474
Fax: (407) 894-7032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4645 Nw 8th Ave, Gainesville, FL 32605-4687 — (352) 375-1212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116218 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0110-008149 (VA)

Record details

NPI number1992375554
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients198
Services billed 277 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $374 13 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Adventhealth Orlando Hospital · Orlando, FL

Colleagues at Florida Hospital Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1715 clinicians in the practice; 12 are shown here.

Other providers in Celebration