Active NPI
John C Sams, MD
- Internal Medicine Physician
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME125259
- Practice address
- 1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765 - Phone
- (478) 328-7674
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME125259 | FL | Primary |
Addresses
Primary practice location
1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765
Mailing address
6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 744-7300
Other practice location 1
218 Ga Highway 49 N
Byron, GA 31008-4042
Phone (478) 956-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1308528 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14319 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Medical Group, P.C. | Current | Accepting new patients | |
| Christus Health Central Louisiana | Past | Accepting new patients | |
| Physician First Health Network | Past | Accepting new patients | |
| Family Care Partners Urgent Care, LLC | Past | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste C270
Alpharetta, GA 30005
Phone 7704421911233
1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350
218 GA Highway 49 N
Byron, GA 31008
Phone (478) 956-3477
701 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 825-0023
1719 Russell Pkwy
Ste 700
Warner Robins, GA 31088
Phone (478) 328-0806
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIJIBA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
-
- Public Health or Welfare Agency
- Alpharetta, GA
- NPI 1598558181
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1386147882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1083763577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772044",
"telephone_number": "904-744-7300",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 RUSSELL PKWY STE 700",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310885765",
"telephone_number": "478-328-7674"
}
],
"practiceLocations": [
{
"address_1": "218 Ga Highway 49 N",
"address_purpose": "LOCATION",
"city": "Byron",
"state": "GA",
"postal_code": "310084042",
"country_code": "US",
"telephone_number": "478-956-3477",
"fax_number": "478-956-4126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMS",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME125259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1308528",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.