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 is a Family Medicine Physician 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
Show map & directions

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

Other providers in Raleigh