Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Medicine DPC

Organization Family Medicine Physician · NPI 1770459299

Magnolia Medicine DPC provides Family Medicine Physician services in Raleigh, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

600 Wade Ave Ste A
Raleigh, NC 27605-3121
Phone: (919) 228-8155
Fax: (984) 220-9276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770459299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johanna Sampson — Physician Owner · (317) 697-8490
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address600 Wade Ave Ste A, Raleigh, NC 27605-3121

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