Organization Active NPI

Samuel W. McGaha

  • Family Medicine Physician
  • Sevierville, TN
National Provider Identifier
1265639405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD010012 Issued in TN
Legal business name
SAMUEL W. MCGAHA
Practice address
1235 Dolly Parton Parkway
Suite #2
Sevierville, TN 37862
Phone
(865) 428-6088
Fax
(865) 774-9745
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel W. McGaha, M.D.
Title
Physician
Phone
(865) 428-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD010012 TN Primary

Addresses

Primary practice location

1235 Dolly Parton Parkway
Suite #2
Sevierville, TN 37862

Mailing address

1235 Dolly Parton Parkway
Suite #2
Sevierville, TN 37862
Phone (865) 428-6088

National Provider Directory

National Provider Directory

Locations

1235 Dolly Parton Pkwy
Ste 2
Sevierville, TN 37862
Phone (865) 428-6088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265639405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 DOLLY PARTON PARKWAY",
            "address_2": "SUITE #2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-428-6088",
            "fax_number": "865-774-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 DOLLY PARTON PARKWAY",
            "address_2": "SUITE #2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-428-6088",
            "fax_number": "865-774-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL W. MCGAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGAHA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "865-428-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD010012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.