Samuel Porter Jacks, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Winston Salem, NC
Samuel Porter Jacks, MD is a thoracic surgery (cardiothoracic vascular surgery) physician with a practice address in Winston Salem, North Carolina, and NPI 1184828030, issued on Jun 13, 2007. Check the license (North Carolina 2015-01953, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Samuel Porter Jacks
- Credential
- MD
- Primary taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License number
- 2015-01953 NC
Self-reported in NPPES; status is on the state search - Practice location
- 4622 Country Club RD, Winston Salem, NC 27104
- Phone
- (336) 768-9535
- Enumerated
- Jun 13, 2007
- Record last updated
- Oct 25, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (336) 768-4155
- Medicaid IDs
- 005979900 FL
003125978A GA - Medicare enrollment
- Enrolled (PECOS I20151118002677); accepts Medicare assignment
- Medical or professional school
- Wake Forest University School Of Medicine, 2004
- Entity
- Type 1 · individual
8 nearest thoracic surgery (cardiothoracic vascular surgery) physician records → All 157 in North Carolina → Look up another NPI →
Also registered at 4622 Country Club RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bret Borchelt, MDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician1871579870
- David Duncan, MDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician1124004122
- Brandon Jenkins, DMDGeneral Practice Dentistry1073443545
- Ronald Logan, D.D.S.General Practice Dentistry1487868378
- Joel Morgan, MDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician1104802164
- Lindsay Morgan, PA-CPhysician Assistant1831402791
Verify Samuel Porter Jacks in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2015-01953Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $202.01
8 payments; by number, the most common kind was food and beverage; the largest payer was Atricure, Inc. The 4,047 providers of this specialty with any payment received $7,828.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Novant Health Medical Group, LLCWinston Salem, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel Porter Jacks among 157 thoracic surgery (cardiothoracic vascular surgery) physician records in North Carolina
Samuel Porter Jacks, MD is one of 157 thoracic surgery (cardiothoracic vascular surgery) physician records with a practice address in North Carolina. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 51% of them.
- NPI issued2007 · 51% of these records are older, 38% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2004 · median 1998 among the 97 with a school on file
- Record last updated2020 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208G00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in North Carolina
There are 157 thoracic surgery (cardiothoracic vascular surgery) physician records in North Carolina.
All 157 in North Carolina → Every provider in Winston Salem → Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationwide →
The 8 thoracic surgery (cardiothoracic vascular surgery) physician records with the nearest ZIP codes
- Bret Borchelt, MDWinston Salem, NC 271041871579870
- David Duncan, MDWinston Salem, NC 271041124004122
- Jesse Madden, M.D. MSWinston Salem, NC 271041538393517
- Joel Morgan, MDWinston Salem, NC 271041104802164
- Bruce Walley, MDWinston Salem, NC 271041891771879
- Hadley Wilson, MDWinston Salem, NC 271041659758845
- Yaron Barac, M.D, PH.DWinston Salem, NC 271571356894810
- Bartlomiej Imielski, MDWinston Salem, NC 271571235557190
Common questions
What is Samuel Porter Jacks, MD's NPI number?
Samuel Porter Jacks, MD's National Provider Identifier (NPI) is 1184828030, issued on Jun 13, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Porter Jacks, MD located?
The NPPES record lists a practice address at 4622 Country Club RD, Winston Salem, NC, 27104. Phone: (336) 768-9535. Providers update this record themselves, so call before visiting.
How can I verify Samuel Porter Jacks, MD's license?
NPPES lists North Carolina license number 2015-01953, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.