Samuel Welborn, MD
NPI 1619677069 · General Practice Physician · Fort Liberty, NC
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Welborn, MD is a General Practice Physician provider in Fort Liberty, NC (NPI 1619677069).
Provider details
- NPI number
- 1619677069
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101284363 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Frequently asked questions
- What is Samuel Welborn's NPI number?
- Samuel Welborn's National Provider Identifier (NPI) is 1619677069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Welborn's specialty?
- Samuel Welborn is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Welborn located?
- Samuel Welborn's practice location on file with NPPES is 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001.
- What is Samuel Welborn's phone number?
- The practice phone number listed in the NPPES registry for Samuel Welborn is (440) 742-1674.
- Does Samuel Welborn accept Medicare?
- Samuel Welborn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Welborn's NPI active?
- Yes — Samuel Welborn's NPI (1619677069) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.