Doctor profile · Federal record
Dr. Samantha Glenn Etheredge
Sports Medicine (Family Medicine) Physician (CMS: Rheumatology) · Sports Medicine (Family Medicine) Physician · Pascagoula, MS
- NPI 1386221844
- Accepts Medicare
- 5 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3101 Denny Ave Ste 240
Pascagoula, MS 395815307
(228) 872-1951
fax (228) 875-9998 - Mailing address
-
2101 Highway 90
Gautier, MS 395535340
Credentials & registration
- NPI registered
- March 2021 — 5 yrs on file
- Profile last updated
- September 24, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207QS0010X — NUCC code
- State licenses (2)
- Mississippi #35673 · Alabama #3818
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386221844. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Daiichi Sankyo Inc. | 1 | $17.52 | |
| Mylan Specialty L.P. | 1 | $17.37 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$87
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 13 | 0 | $87 |
Hospital affiliations
Frequently asked questions
What is Dr. Samantha Glenn Etheredge's medical specialty?
Dr. Samantha Glenn Etheredge practices Sports Medicine (Family Medicine) Physician in Pascagoula, MS.
Where does Dr. Samantha Glenn Etheredge practice?
Dr. Samantha Glenn Etheredge practices at 3101 Denny Ave Ste 240, Pascagoula, MS 395815307. Office phone: 2288721951.
What is Dr. Samantha Glenn Etheredge's NPI?
Dr. Samantha Glenn Etheredge's National Provider Identifier (NPI) is 1386221844, issued by NPPES.
Does Dr. Samantha Glenn Etheredge accept Medicare assignment?
Yes. Dr. Samantha Glenn Etheredge accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.