Individual provider · Type 1 NPI

Disney Kulachati Samutsakorn, PA-C

Physician Assistant · Fort Bragg, NC

NPI number 1255875571 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-4504

Call (910) 907-8922 Map

Fax (910) 907-6069

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908

Other practice locations

  • 6201 Raeford Rd, Fayetteville, NC 28304-2425 · (910) 615-3879
  • 6387 Ramsey St Unit 100, Fayetteville, NC 28311-9442 · (910) 615-7070

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-14417 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255875571

Disney Kulachati Samutsakorn, PA-C's National Provider Identifier is 1255875571, issued on Dec 5, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Bragg, NC. The record was last updated on Sep 21, 2026.