Individual provider Active NPI

John C Sams, MD

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1083763577
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME125259 Issued in FL
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

Updated by the provider on May 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1308528MedicaidLA

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14319LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Nov 14, 2022 Accepting new patients
Christus Health Central Louisiana Past Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.