Individual provider Active NPI

Rachelle Gang, FNP

  • Family Nurse Practitioner
  • Jefferson City, TN
National Provider Identifier
1427710128
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30469 Issued in TN
Practice address
380 W Broadway Blvd
Jefferson City, TN 37760-2602
Phone
(865) 584-4747
Fax
(833) 591-1509
NPI assigned
Oct 10, 2021
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 30469 TN Primary

Addresses

Primary practice location

380 W Broadway Blvd
Jefferson City, TN 37760-2602

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

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
I20211022002325 TN Practitioner - Nurse Practitioner 8527456581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

8635 Middlebrook Pike
Knoxville, TN 37923-1612
Phone (865) 824-0033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30469TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Heartland Infusion CurrentSince Oct 9, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 4, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 19, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 19, 2023 Accepting new patients
Encore Infusion of Tennessee PC CurrentSince Oct 17, 2023 Accepting new patients
Healthstar Physicians PC CurrentSince Jul 1, 2024 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Ivxpress Inc PastSince Oct 9, 2023 Accepting new patients

Locations

1820 Roane State Hwy
Harriman, TN 37748
Phone (865) 717-4468

54 Exeter Rd
Ste B
Jackson, TN 38305
Phone (731) 265-6197

380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

1880 N Eastman Rd
Kingsport, TN 37664
Phone (865) 862-4557

1880 N Eastman Rd
Ste 150
Kingsport, TN 37664
Phone (865) 862-4557

10910 Kingston Pike
Unit 101
Knoxville, TN 37934
Phone (865) 675-2050

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

8635 Middlebrook Pike
Knoxville, TN 37923
Phone (865) 824-0079

9303 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 690-6451

9943 Kingston Pike
Knoxville, TN 37922
Phone (865) 862-4557

365 E Economy Rd
Morristown, TN 37814
Phone (865) 862-4557

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: rachelle.gang.1@3525.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1427710128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602602",
            "telephone_number": "865-584-4747",
            "fax_number": "833-591-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANG",
        "first_name": "RACHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.