SAMPSON REGIONAL PROFESSIONAL SERVICES LLC (NPI# 1760706154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760706154 |
| Entity Type | Organization |
| Organization Name | SAMPSON REGIONAL PROFESSIONAL SERVICES LLC |
| Other Organization Name | JOHN ROBERTS MD GYNECOLOGY |
| Practice Address |
603 Beaman St Suite 501 Clinton NC 28328-2650 |
| Practice Telephone | 9105908000 |
| Practice Fax Number | 9105908001 |
| Mailing Telephone | 9105908000 |
| Mailing Fax Number | 9105908002 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MR. DAVID MASTERSON (CEO) |
| Authorized Official Telephone | 9105928511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 72188 | 01 |
| NC | 8972188 | 05 | |
| NC | RR MEDICARE | P00898016 | 01 |
| Other Name | Type Code |
|---|---|
| John Roberts MD Gynecology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619251766 | Sampson Regional Professional Services LLC | Clinic/Center | 301 Main St, Newton Grove, NC 28366-7723 | 2011-10-07 |
| 1710209234 | Sampson Regional Professional Services LLC | Physician Assistant | 1004 Beaman St, Clinton, NC 28328-2329 | 2010-02-25 |
| 1073749131 | Sampson Regional Professional Services LLC | Nurse Practitioner | 522 Beaman St, Clinton, NC 28328-2602 | 2009-06-03 |
| Street Address |
603 BEAMAN ST SUITE 501 |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827738 | Wake Heart and Vascular Associates P.a. | Specialist | 603 Beaman St, Clinton, NC 28328-2650 | 2005-11-11 |
| 1811371685 | Dermone | Physician Assistant | 603 Beaman St, Clinton, NC 28328-2650 | 2015-07-12 |
| 1518280817 | Sampson Regional Professional Services | Obstetrics & Gynecology | 603 Beaman St, Suite 100, Clinton, NC 28328-2650 | 2010-03-01 |
| 1881867992 | Andres R Fleury-guzman | Surgery | 603 Beaman St, Suite 300, Clinton, NC 28328-2650 | 2008-04-09 |
| 1609049709 | Mariana Mendible | Surgery | 603 Beaman St, Suite 300, Clinton, NC 28328-2650 | 2008-04-09 |
| 1649449224 | Thomas Jc Woods Md Pa | Ophthalmology | 603 Beaman St, Clinton, NC 28328-2650 | 2008-02-27 |
| 1821209313 | Robert T Harris | Physician Assistant | 603 Beaman St, Suite 100, Clinton, NC 28328-2650 | 2007-05-25 |
| 1134255870 | David Allen Reeves | Physician Assistant | 603 Beaman St, Clinton, NC 28328-2650 | 2007-02-26 |
| 1982775037 | Albert Alexander Verrilli IIi | Family Medicine | 603 Beaman St, Clinton, NC 28328-2650 | 2006-11-12 |
| 1598836645 | Albert A Verrilli Md,pa | Family Medicine | 603 Beaman St, Clinton, NC 28328-2650 | 2006-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134198526 | Jo Ann N Bolli | Obstetrics & Gynecology | 308 S Washington St, Clinton, KY 42031-1340 | 2006-03-16 |
| 1659835684 | Rosemond Dickson Bartels, Crnp, LLC | Obstetrics & Gynecology | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2019-01-23 |
| 1205324225 | Min-obgyn of Maryland PC | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2018-04-25 |
| 1235269234 | Gene Whang | Obstetrics & Gynecology | 40 Pittstown Rd, Clinton, NJ 08809-1209 | 2007-03-07 |
| 1316090855 | Ebenezer Nettey | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2007-01-19 |
| 1841351772 | Francis De Graft Dickson | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142727 | The Whole Woman, Pllc | Obstetrics & Gynecology | 7509 Six Forks Rd Ste 101, Raleigh, NC 27615-5020 | 2019-12-26 |
| 1588130496 | Charlotte Marie Wise | Obstetrics & Gynecology | 1000 Southfork Village Dr Apt 101, Belmont, NC 28012-7823 | 2018-10-17 |
| 1639696149 | Raleigh Gynecology & Wellness, Pa | Obstetrics & Gynecology | 2304 Wesvill Ct Ste 210, Raleigh, NC 27607-2973 | 2017-08-25 |
| 1366992174 | Chapel Hill Gynecology Pllc | Obstetrics & Gynecology | 103 Stoneridge Dr, Chapel Hill, NC 27514-9733 | 2016-10-05 |
| 1477963874 | Kathryn Elizabeth Barletta | Obstetrics & Gynecology | 4325 Lake Boone Trl Ste 315, Raleigh, NC 27607 | 2014-05-07 |
| 1750708848 | Woman To Woman Gynecology Pllc | Obstetrics & Gynecology | 3909 Sunset Ridge Rd Ste 201, Raleigh, NC 27607-6668 | 2014-03-26 |
| 1952736142 | Brandon Gynecology Associates, Pa | Obstetrics & Gynecology | 10310 Mallard Creek Rd Ste 101d, Mallard Crossing Medical Park, Charlotte, NC 28262-4563 | 2013-09-06 |
| 1306181128 | Carolinas Medical Center-northeast | Obstetrics & Gynecology | 10030 Edison Square Dr, 100-a, Concord, NC 28027-8252 | 2012-12-05 |
| 1205105053 | Bohdan Malyk | Obstetrics & Gynecology | 1646 Verrazzano Dr, Wilmington, NC 28405-4224 | 2011-12-23 |
| 1548497209 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 20 S Medical Ct, Marion, NC 28752-4972 | 2009-06-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.