Individual provider Active NPI

Samantha Gagliano, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1053197483
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34234 Issued in TN
Practice address
725 Glenwood Dr Ste E780
Chattanooga, TN 37404-1177
Phone
(423) 697-0072
Fax
(423) 697-1798
NPI assigned
Sep 1, 2023
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34234 TN Primary

Addresses

Primary practice location

725 Glenwood Dr Ste E780
Chattanooga, TN 37404-1177

Mailing address

1402 N Smith St
Chattanooga, TN 37412-3958
Phone (423) 503-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928002215 TN Practitioner - Nurse Practitioner 0547614208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

725 Glenwood Dr
Suite E780
Chattanooga, TN 37404-1177
Phone (423) 697-0072

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
34234TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Life Healthcare PLLC CurrentSince Jul 7, 2025 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Chattanooga Urology Associates Past Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

6102 Shallowford Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 475-6438

6102 Shallowford Rd
Ste 104
Chattanooga, TN 37421
Phone (423) 206-9214

725 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 503-7786

725 Glenwood Dr
Ste 780
Chattanooga, TN 37404
Phone (423) 697-0072

725 Glenwood Dr
Ste E780
Chattanooga, TN 37404
Phone (423) 697-0072

Interoperability endpoints

  • Direct secure messaging: sgagliano133279@direct.stlukeshealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1053197483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N SMITH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123958",
            "telephone_number": "423-503-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E780",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041177",
            "telephone_number": "423-697-0072",
            "fax_number": "423-697-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIANO",
        "first_name": "SAMANTHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.