Individual provider Active NPI

Jessica Millsap Sampson, MD

  • Diagnostic Radiology Physician
  • Greenville, SC
National Provider Identifier
1710207451
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32732 Issued in SC
Practice address
1210 W Faris Rd
Greenville, SC 29605-4444
Phone
(864) 522-1800
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 32732 SC Primary

Addresses

Primary practice location

1210 W Faris Rd
Greenville, SC 29605-4444

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8602

Other practice location 1

1519 Marion St
Columbia, SC 29201-2910
Phone (803) 296-5954

Other names 1

  • Jessica Lauren Millsap Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC, TX, OK4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150609000775 AL Practitioner - Diagnostic Radiology 1759527559 Reassigns benefits to 2 organizations
I20170620000008 SC Practitioner - Diagnostic Radiology 1759527559 Reassigns benefits to 4 organizations
I20240103003939 TX Practitioner - Diagnostic Radiology 1759527559 Reassigns benefits to 12 organizations
I20240827000650 OK Practitioner - Diagnostic Radiology 1759527559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000

1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

36 Mount Vista Ave
Greenville, SC 29605-1119
Phone (918) 935-3550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32732SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Imaging Centers, LLC CurrentSince Jan 26, 2026 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 3, 2024 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Jul 29, 2024 Accepting new patients
Watonga Indian Health Center CurrentSince Nov 29, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 14, 2023 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Nov 15, 2016 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 27, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 5, 2024 Accepting new patients
Cherokee Nation CurrentSince Jan 5, 2024 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Cherokee Nation CurrentSince Jan 5, 2024 Accepting new patients
Shriners Hospitals for Children CurrentSince Nov 1, 2022 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Oct 31, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 5, 2024 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 20, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 14, 2023 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Aug 8, 2025 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Prisma Health University Medical Group Diagnostic Radiology CurrentSince Jul 5, 2017 Accepting new patients
Clinton Indian Health Center CurrentSince Nov 29, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 5, 2015 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Cherokee Nation Current Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 27, 2023 Accepting new patients
Carnegie Indian Health Center CurrentSince Nov 29, 2023 Accepting new patients
Prisma Health University Medical Group Diagnostic Radiology CurrentSince Oct 17, 2021 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 27, 2023 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Oct 31, 2023 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Jul 30, 2024 Accepting new patients
Shriners Hospitals for Children Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 5, 2024 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 27, 2023 Accepting new patients
Pawnee Indian Health Center CurrentSince Nov 29, 2023 Accepting new patients
Anadarko Indian Health Center CurrentSince Nov 29, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Nov 29, 2023 Accepting new patients
Prisma Health Imaging Centers, LLC CurrentSince Feb 9, 2026 Accepting new patients
Wewoka Indian Health CurrentSince Nov 29, 2023 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 20, 2023 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Jan 7, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 5, 2017 Accepting new patients
Cherokee Nation Current Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 20, 2023 Accepting new patients
El Reno Indian Health Center CurrentSince Nov 29, 2023 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Nov 27, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 3, 2024 Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations (25 of 40)

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Interoperability endpoints

  • Direct secure messaging: jessica.millsap@direct.baptistfirst.org

Organizations & group practices 51

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.

View all 51

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1710207451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054444",
            "telephone_number": "864-522-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1519 Marion St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012910",
            "country_code": "US",
            "telephone_number": "803-296-5954",
            "fax_number": "803-296-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JESSICA",
        "middle_name": "MILLSAP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "32732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MILLSAP",
            "middle_name": "LAUREN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.