Samuel W McGaha, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD010012 Issued in TN

Practice address

1235 Dolly Parton Parkway
Suite # 2
Sevierville, TN 37862

Phone

(865) 428-6088

Fax

(865) 774-9745

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720150840",
    "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": {
        "last_name": "MCGAHA",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD010012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169423",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2009938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie McClelland I, RN
• Cheyanna Marie McCoy
• Jordan E McCroskey, FNP
• Jennifer Kendra McDaniel, APRN
• McFarland Group LLC
• Joel McGinnis, PT, DPT
• Elizabeth McKinney
• Mark McKinney, PA-C
• Brooke Alcorn McMinn
• MD Express Urgent Care

• Family Medicine Physician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.