Individual provider Active NPI

Samuel Charles Purkey

  • Gastroenterology Physician
  • Knoxville, TN
National Provider Identifier
1619438397
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6133 Issued in TN
Practice address
1924 Alcoa Hwy # U-114
Knoxville, TN 37920-1511
Phone
(865) 305-9340
NPI assigned
Mar 26, 2019
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Gastroenterology Physician 207RG0100X 6133 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy # U-114
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy # U-114
Knoxville, TN 37920-1511
Phone (865) 305-9340

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000257 TN Practitioner - Gastroenterology 5698006807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 260
Sevierville, TN 37862-3055
Phone (865) 305-6333

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6133TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jun 1, 2025 Accepting new patients
University Health System, Inc Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
University Health System, Inc Current Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1924 Alcoa Hwy
#U114
Knoxville, TN 37920
Phone (865) 305-9340

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1130 Middle Creek Rd
Ste 260
Sevierville, TN 37862
Phone (865) 428-7586

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 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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1619438397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U-114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U-114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURKEY",
        "first_name": "SAMUEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.