Family Medicine, Sports Medicine
SAMANTHA GLENN ETHEREDGE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386221844 · enumerated 2021-03-29 · record updated 2025-09-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2101 HIGHWAY 90, GAUTIER, MS, 39553-5340 (228) 497-7576 Fax (228) 497-8869 Google Maps Apple Maps OpenStreetMap
- Practice location 3101 DENNY AVE STE 240, PASCAGOULA, MS, 39581-5307 (228) 872-1951 Fax (228) 875-9998 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Sports Medicine 207QS0010X · Primary · License 35673 MS
- Family Medicine, Sports Medicine 207QS0010X · License 3818 AL
In this directory
MS Jackson County Pascagoula Family Medicine, Sports Medicine
Locations and evidence
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Practice location
PASCAGOULA, MS, 395815307
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.