Samuel Porter Jacks, MD
Samuel Porter Jacks, MD practises Thoracic Surgery in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2004, 22 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 22
- Trained at
- Wake Forest University School of Medicine
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4622 Country Club Rd Ste 180Winston Salem, NC 27104-3769
Phone: (336) 768-9535
Fax: (336) 768-4155
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence 2015-01953 (NC) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 2015-01953 (NC) |
Record details
| NPI number | 1184828030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 13, 2007 |
| Last updated in NPPES | October 25, 2020 |
| Certification date | September 6, 2020 |
Medicare enrollment
| Medicare specialty | THORACIC SURGERY |
|---|---|
| Also practises | GENERAL SURGERY |
| Medical school | WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Novant Health Medical Group, Llc — 2410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Coronary artery bypass graft (CABG) | 1–10 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 193 |
| Average patient age | 74 |
Payments from drug and device companies, 2025
| Travel and Lodging | $1,206 |
|---|---|
| Food and Beverage | $169 |
Practises at
- Novant Health Forsyth Medical Center Hospital · Winston-Salem, NC · listed as Novant Health Thomasville Medical Center, LLC
- Novant Health Medical Park Hospital Hospital · Winston-Salem, NC · listed as Medical Park Hospital LLC
Colleagues at Novant Health Medical Group, LLC
- Rahel Haimanot Alemu, MD Internal Medicine Physician · Winston Salem, NC
- Dr. Maike Naumann Copeland, MD Pediatrics Physician · Winston Salem, NC
- Jonathan Nicholas Desillier, PA-C Physician Assistant · Supply, NC
- Allison Love Jones Hospitalist Physician · Charlotte, NC
- Mrs. Wish Mema, ACNP-BC Acute Care Nurse Practitioner · Dallas, TX
- Michael Shane Miller, MD Hospitalist Physician · Charlotte, NC
- MS. Juliana Efua Quagraine, NP Acute Care Nurse Practitioner · Charlotte, NC
- Edwin Neal Shoemaker, MD Student in an Organized Health Care Education/Training Program · Winston Salem, NC
- Dr. Michael D Stadler, MD Obstetrics & Gynecology Physician · Salisbury, NC
- Michelle Louise Tidd, PA Physician Assistant · Charlotte, NC
- Jennifer Nicole Ward, DO Family Medicine Physician · Salisbury, NC
- MS. Brandi Anesha Woods, LPC Professional Counselor · Charlotte, NC
Other providers in Winston Salem
-
James Jason Hoth, MD
Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2255
-
Russell Mars Howerton, MD
Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2255
-
Sara Hrivnak
4614 Country Club Rd, Winston Salem, NC 27104-3520 · (336) 716-6099
-
Christopher Tyler Hunter
2915 Lyndhurst Ave, Winston Salem, NC 27103-4005 · (336) 765-5221
-
Ashley Elizabeth Kaiser, MD
2827 Lyndhurst Ave Ste 203, Winston Salem, NC 27103-4145 · (336) 794-8624
-
Dr. Lori Goco Kellam, MD
2825 Lyndhurst Ave Ste 101, Winston Salem, NC 27103-4146 · (336) 277-6300
-
Lauren Smith Kelly
1 Medical Center Dr, Winston Salem, NC 27157-0001 · (336) 716-2011
-
Dr. Ickhee Kim, MD
1 Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-2011