Active NPI
John Argyle Sampson, MD
- Surgery Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301049181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-20001 | Other | MI | PHP |
| 24-0380695-2 | Other | MI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121890 | FL | MD | Surgery Physician |
| 4301049181 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTD Network LLC | General Practice | Current | Accepting new patients |
| Theoria Medical | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
-
- Medical Specialty Clinic/Center
- Fargo, ND
- NPI 1710238233
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
- Abdulbaset M. Salim, MD, MPH
- Sam's Club Optical (Sam's Club Optical 30-6658)
- Esmeralda De la Fe Samon
- Jesse Jordan Samples, DO
- Chinyere Sampson, LPC, CAADC
- Heba Samra
- Sams East Inc (Sams Pharmacy 10-6658)
- Geraldine San Juan-Dunford, MA LPC
- Joell Lavonne Sanchez-Deleon, LLP
- Luis Alexander Sanchez-Erebia, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.