Individual provider Active NPI

Samaria Grandberry, RDN

  • Registered Dietitian
  • Bartlett, TN
National Provider Identifier
1316530330
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
12085171 Issued in TN
Practice address
2959 Elmore Park Rd Ste 8
Bartlett, TN 38134-8379
Phone
(662) 912-4090
NPI assigned
Feb 20, 2021
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 12085171 TN Primary

Addresses

Primary practice location

2959 Elmore Park Rd Ste 8
Bartlett, TN 38134-8379

Mailing address

2959 Elmore Park Rd Ste 8
Bartlett, TN 38134-8379

Other practice location 1

7290 Millington Arlington Rd
Millington, TN 38053-5611
Phone (901) 873-1932

Other names 1

  • Samaria Garrett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12085171TNMDRegistered Dietitian

Organizations & group practices 1

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": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1316530330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 ELMORE PARK RD STE 8",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381348379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 ELMORE PARK RD STE 8",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381348379",
            "telephone_number": "662-912-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7290 Millington Arlington Rd",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380535611",
            "country_code": "US",
            "telephone_number": "901-873-1932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDBERRY",
        "first_name": "SAMARIA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "12085171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMARIA",
            "last_name": "GARRETT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.