Magnolia Medicine DPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGNOLIA MEDICINE DPC

Practice address

600 Wade Ave Ste a
Raleigh, NC 27605-3121

Phone

(919) 228-8155

Fax

(984) 220-9276

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Johanna Hadley Sampson, MDNPI 1174743124

Title

Physician Owner

Phone

(317) 697-8490

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johanna Hadley Sampson, M.D.

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1174743124
  NPD Authorized official

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1770459299",
    "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": {
        "organization_name": "MAGNOLIA MEDICINE DPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "HADLEY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "317-697-8490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Magner
• Magnified Insights Global Care
• Magnified Insights Global Consulting, LLC
• Magnify Health PLLC
• Gerard R Magno, D.D.S.
• Magnolia Psychological Services, PLLC
• Erin May Neal Magnus, MSW, LCSW
• Jerome J Magolan Jr., M.D.
• Tegan K Magsam, PHARMD, BCACP, CPP
• Erin Maher, MS, CCC/SLP

• 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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.