NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samuel Grady Putnam, MD

Vascular & Interventional Radiology Physician in Southaven, MS · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023066404

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Registry record

Entity type Individual (Type 1)
Name Samuel Grady Putnam
Credential MD
Sex Male
Practice address 55 Physicians Ln, Southaven, MS, 38671
Phone (662) 655-2136
Fax (662) 996-2214
Enumeration date May 5, 2006
Last updated in NPPES May 6, 2025

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 25MA09575600 (NJ) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD041221E (PA) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License C1-0011573 (DE) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License MD041221E (PA) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License 25MA09575600 (NJ) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License 63241 (TN) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License MD-23034 (HI) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License C1-0011573 (DE) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License 28916 (MS) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1172545 Other PA AETNA HMO
30026885 Other PA KEYSTONE MERCY
0012723560016 Medicaid PA -
0546464000 Other PA AMERIHEALTH/INTERCOUNTY
300099781 Other PA RRM
7929044 Other PA AETNA PPO
0546464000 Other PA IBC - PC/KHPE
710371 Other PA HIGHMARK BLUE SHIELD
8215722 Other PA CIGNA HMO/PPO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Samuel Putnam?
Samuel Putnam is registered in NPPES with the primary taxonomy of Vascular & Interventional Radiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-06.