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MAGNOLIA MEDICINE DPC
NPI 1770459299
Family Medicine in Raleigh, NC

Active since October 13, 2025
600 WADE AVE STE A, RALEIGH, NC 27605(919) 228-8155(984) 220-9276 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Medicine Dpc NPPES

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

MAGNOLIA MEDICINE DPC (NPI 1770459299) is a healthcare organization registered as a family medicine in Raleigh, North Carolina and active in the NPI registry since October 2025. The organization lists Johanna Hadley Sampson, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1770459299
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA MEDICINE DPC
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
Organization SubpartNo
Authorized OfficialJohanna Hadley SampsonPhysician Owner · (317) 697-8490
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1770459299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JOHANNA HADLEY SAMPSON M.D.
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 Magnolia Medicine Dpc's NPI number?

The NPI number for Magnolia Medicine Dpc is 1770459299. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Magnolia Medicine Dpc located?

Magnolia Medicine Dpc is located at 600 Wade Ave Ste A, Raleigh, NC 27605. The listed phone number is (919) 228-8155.

What is Magnolia Medicine Dpc's specialty?

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

When was this NPI record last updated?

The NPPES record for Magnolia Medicine Dpc was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.