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MR. SAMPSON RAY BOOTH PA-C
NPI 1306721808
Physician Assistant in Bolivia, NC

Active since August 06, 2025PECOS EnrolledAccepts Medicare Assignment
4311 OLD OCEAN HWY, BOLIVIA, NC 28422(877) 935-5255 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Sampson Ray Booth Pa-c NPPES

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

MR. SAMPSON RAY BOOTH PA-C (NPI 1306721808) is an individual physician assistant in Bolivia, North Carolina and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Campbell Univ School Of Osteopathic Medicine (2025).

NPPES Registry Identity

NPI1306721808
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAMPSON RAY BOOTHCredential: PA-C
Location Address4311 OLD OCEAN HWYBolivia, NC 28422-8637
Mailing Address4105 Ramseur Julian RdLiberty, NC 27298-8606 · (336) 588-4262
Phone(877) 935-5255
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2025
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1306721808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4311 OLD OCEAN HWY, Bolivia, NC 28422
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sampson Ray Booth Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981199924
PECOS Enrollment IDI20251217004083
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28422 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

MRS. KAYLA ROSE EZA LCSWA
Social Worker (Clinical)
4311 OLD OCEAN HWY
BOLIVIA, NC 28422
Brunswick County (877) 935-5255

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 Sampson Booth's NPI number?

The NPI number for Sampson Booth is 1306721808. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Sampson Booth located?

Sampson Booth practices at 4311 Old Ocean Hwy, Bolivia, NC 28422. The listed phone number is (877) 935-5255.

What is Sampson Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sampson Booth enrolled in Medicare?

Yes. Sampson Booth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sampson Booth was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.