Lawrence Douglas Sampson Jr.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6204 N State St
Jackson, MS 39213-9731

Phone

(202) 765-8092

NPI assigned

Jun 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sincere Home Care LLC.

  • Community Health Registered Nurse
  • Jackson, MS
  • NPI 1740697275
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1124409412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392139731",
            "telephone_number": "202-765-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392139731",
            "telephone_number": "202-765-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "LAWRENCE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dante Salvemini
• Cathryn Alicia Salvo, AGNP-C
• Arash Samar, MD
• Margaret Samonds
• Gabriella Sampson
• Shaquita Sampson
• Fnu Samra Mariyam
• Hanna Laura Sams, MD
• Mary Elizabeth Anne Samsel, MA
• Samuel Floyd Brown MD

• All providers in Jackson, MS
• Case Manager/Care Coordinator in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.