Individual provider Active NPI

Samantha De Gannes, MD

  • Epilepsy Physician
  • Knoxville, TN
National Provider Identifier
1982225629
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
35.150995 Issued in OH
Practice address
501 20TH St Ste 505
Knoxville, TN 37916-1869
Phone
(865) 546-0157
Fax
(865) 374-2177
NPI assigned
May 5, 2020
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 35.150995 OH Primary
Neurology Physician 2084N0400X BP10072589 TX

Addresses

Primary practice location

501 20TH St Ste 505
Knoxville, TN 37916-1869

Mailing address

501 20TH St Ste 505
Knoxville, TN 37916-1869
Phone (865) 546-0157

Other identifiers 1

IdentifierTypeStateIssuer
Q116817MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Degannes.samantha@covenanthealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200522001096 TX Order and Referring Only - NeurologyPractitioner - NeurologyPractitioner - Epileptologists 4385065630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10072589TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb PastSince May 1, 2020 Accepting new patients

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1982225629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161869",
            "telephone_number": "865-546-0157",
            "fax_number": "865-374-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 505",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161869",
            "telephone_number": "865-546-0157",
            "fax_number": "865-374-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GANNES",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "OH",
            "license": "35.150995",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10072589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q116817",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Degannes.samantha@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 20th St Ste 505",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379161869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.