Individual provider Active NPI

Billy Joe Sampson, MSN, FNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1326600867
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011923 Issued in NC
Practice address
8450 Park Rd
Charlotte, NC 28210-5801
Phone
(980) 308-0143
Fax
(980) 308-0142
NPI assigned
Jul 5, 2019
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F03190181 NC
Family Medicine Physician 207Q00000X 5011923 NC
Family Nurse Practitioner 363LF0000X 5013840 NC
Nurse Practitioner 363L00000X 5011923 NC Primary

Addresses

Primary practice location

8450 Park Rd
Charlotte, NC 28210-5801

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4372

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Capefear Health Information Exchange (HIE) Cape Fear Physician Services, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906002680 NC Practitioner - Nurse Practitioner 9739418344 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03190181NCMDFamily Medicine Physician
5011923NCMDNurse Practitioner
5013840NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Nov 2, 2024 Accepting new patients
Robeson Emergency Physicians, PLLC Single Specialty CurrentSince Jun 25, 2023 Accepting new patients
Carolina Medicorp Enterprises, LLC Single Specialty CurrentSince Nov 2, 2024 Accepting new patients
Cfvhs Ed Physicians CurrentSince Aug 26, 2019 Accepting new patients
Cfvhs Ed Physicians Single Specialty CurrentSince Aug 26, 2019 Accepting new patients
Carolina Quickcare Family Practice, PLLC Single Specialty CurrentSince Mar 27, 2023 Accepting new patients
DRX High Point, PLLC Single Specialty CurrentSince Feb 14, 2024 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

1653 New Garden Rd
Ste 103
Greensboro, NC 27410
Phone (336) 609-6000

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: bsampson71892@capefearvalley.direct-ci.com
  • Direct secure messaging: bsampson1621654@direct.novanthealth.org
  • Direct secure messaging: bsampson268851@direct.unc.nchie.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1326600867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105801",
            "telephone_number": "980-308-0143",
            "fax_number": "980-308-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "BILLY",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "F03190181",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5011923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013840",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Capefear",
            "affiliation": "Y",
            "endpointDescription": "provider",
            "affiliationName": "Cape Fear Physician Services, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "1638 Owen Dr",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283043424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.