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

Dr. Imeh Sampson, DO

Individual provider Hospitalist Physician · NPI 1699115402

Dr. Imeh Sampson, DO is a Family Practice in Newnan, Georgia. Qualified in 2013, 13 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Georgia and New York.

Years since qualifying
13
Licensed in
AZ, GA, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

745 Poplar Rd
Newnan, GA 30265-1618
Phone: (770) 400-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1425 Portland Ave, Rochester, NY 14621-3001 — (585) 922-5067

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 109630 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 283895 (NY)
Hospitalist Physician Taxonomy 208M00000X · Licence 283895 (AZ)

Record details

NPI number1699115402
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 26, 2013
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address10401 W Thunderbird Blvd, Sun City, AZ 85351-3004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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