JOHANNA HADLEY SAMPSON M.D.
NPI 1174743124
Family Medicine in Raleigh, NC

Q: What is Johanna Sampson's NPI number?

The NPI number for Johanna Sampson is 1174743124. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Johanna Sampson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Johanna Sampson enrolled in Medicare?

No. Johanna Sampson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Johanna Sampson was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007Opted out of Medicare · through Oct 1, 2027

600 WADE AVE STE A, RALEIGH, NC 27605(919) 228-8155(984) 220-9276 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johanna Hadley Sampson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA HADLEY SAMPSON M.D. (NPI 1174743124) is an individual family medicine provider in Raleigh, North Carolina, licensed in North Carolina (2009-00674) and active in the NPI registry since May 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174743124

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJOHANNA HADLEY SAMPSONCredential: M.D.

Location Address600 WADE AVE STE ARaleigh, NC 27605-3121

Mailing Address600 Wade Ave Ste ARaleigh, NC 27605-3121 · (919) 228-8155 · Fax (984) 220-9276

Phone(919) 228-8155

Fax(984) 220-9276

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateOctober 8, 2025

NPPES CertifiedOctober 8, 2025

✔ NPI 1174743124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2009-00674

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

600 WADE AVE STE A, Raleigh, NC 27605

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Johanna Hadley Sampson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGNOLIA MEDICINE DPC

Family Medicine

600 WADE AVE STE A
RALEIGH, NC 27605

Wake County (919) 228-8155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Sampson's NPI number?

The NPI number for Johanna Sampson is 1174743124. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Johanna Sampson located?

Johanna Sampson practices at 600 Wade Ave Ste A, Raleigh, NC 27605. The listed phone number is (919) 228-8155.

What is Johanna Sampson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Johanna Sampson enrolled in Medicare?

No. Johanna Sampson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Johanna Sampson was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.