Johanna Hadley Sampson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009-00674 Issued in NC

Practice address

600 Wade Ave Ste a
Raleigh, NC 27605-3121

Phone

(919) 228-8155

Fax

(984) 220-9276

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Magnolia Medicine DPC

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1770459299
  NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1174743124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WADE AVE STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053121",
            "telephone_number": "919-228-8155",
            "fax_number": "984-220-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WADE AVE STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053121",
            "telephone_number": "919-228-8155",
            "fax_number": "984-220-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JOHANNA",
        "middle_name": "HADLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-00674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammons Group Home
• Eddie Kimbrough Sammons, RN
• Esperanza Patricia Samper, RBT
• Andrew Joseph Sampson, MD
• Dylan Sampson, DPT
• Sams East Inc
• Sams East Inc
• Helene Kathrine Samudio, NURSE PRACTITIONER
• Samuel R. Emrich, DDS, PA
• Marecius D Samuel, LPC, LCAS

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.