Individual provider Active NPI

John Argyle Sampson, MD

  • Surgery Physician
  • Jackson, MI
National Provider Identifier
1376626853
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301049181 Issued in MI
Practice address
1514 4TH St
Jackson, MI 49203-4032
Phone
(517) 780-0080
Fax
(517) 780-0043
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME121890 FL
Surgery Physician 208600000X 4301049181 MI Primary

Addresses

Primary practice location

1514 4TH St
Jackson, MI 49203-4032

Mailing address

1514 4TH St
Jackson, MI 49203-4032
Phone (517) 780-0080

Other identifiers 2

IdentifierTypeStateIssuer
13-20001OtherMIPHP
24-0380695-2OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121112000509 MI Practitioner - HospitalistPractitioner - Plastic and Reconstructive Surgery 5991955775 Reassigns benefits to 3 organizations
I20250926000215 FL Practitioner - Plastic and Reconstructive Surgery 5991955775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Howard University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

3500 Coolidge Rd
East Lansing, MI 48823-6376
Phone (517) 336-3424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME121890FLMDSurgery Physician
4301049181MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC General Practice CurrentSince Sep 16, 2025 Accepting new patients
Theoria Medical CurrentSince Aug 31, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Sep 21, 2025 Accepting new patients
Fargo Plastic Surgery PC Past Accepting new patients

Locations

1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101

1805 James L Redman Pkwy
#5412
Plant City, FL 33563

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3500 Coolidge Rd
East Lansing, MI 48823
Phone (517) 203-4042

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • Direct secure messaging: jsampson451774@direct.hfhs.org

Organizations & group practices 5

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1376626853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034032",
            "telephone_number": "517-780-0080",
            "fax_number": "517-780-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034032",
            "telephone_number": "517-780-0080",
            "fax_number": "517-780-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JOHN",
        "middle_name": "ARGYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME121890",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301049181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "13-20001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "24-0380695-2",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.