Individual provider Active NPI

Samuel Brown, FNP

  • Family Nurse Practitioner
  • Sneedville, TN
National Provider Identifier
1184038812
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18778 Issued in TN
Practice address
1861 Main Street
Sneedville, TN 37869
Phone
(423) 733-2131
Fax
(423) 733-4823
NPI assigned
Jun 20, 2014
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 18778 TN Primary

Addresses

Primary practice location

1861 Main Street
Sneedville, TN 37869

Mailing address

1861 Main Street
PO Box 658
Sneedville, TN 37869
Phone (423) 733-2131

Other practice location 1

4307 Highway 66 S
Rogersville, TN 37857-3155
Phone (423) 921-1600

Other identifiers 1

IdentifierTypeStateIssuer
Q013853MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140820002327 TN Practitioner - Nurse Practitioner 6103051966 Reassigns benefits to 2 organizations
I20190829001310 MI Practitioner - Nurse Practitioner 6103051966

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1861 Main St
Sneedville, TN 37869-3645
Phone (423) 733-2131

4307 Hwy 68 S
Rogersville, TN 37857-3155
Phone (423) 921-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Current Accepting new patients
Covenant Medical Group, Inc CurrentSince Mar 1, 2015 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

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.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1184038812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 MAIN STREET",
            "address_2": "PO BOX 658",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "37869",
            "telephone_number": "423-733-2131",
            "fax_number": "423-733-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 MAIN STREET",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "37869",
            "telephone_number": "423-733-2131",
            "fax_number": "423-733-4823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4307 Highway 66 S",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378573155",
            "country_code": "US",
            "telephone_number": "423-921-1600",
            "fax_number": "423-921-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SAMUEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013853",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneedville, TN

Sources for this page

Verify at the official NPI Registry.