Samuel Gulley, PA-S
NPI 1114718905 · Student in an Organized Health Care Education/Training Program · Fort Campbell, KY
Samuel Gulley, PA-S is a Student in an Organized Health Care Education/Training Program provider in Fort Campbell, KY (NPI 1114718905).
Provider details
- NPI number
- 1114718905
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Military Health Care Provider171000000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Samuel Gulley's NPI number?
- Samuel Gulley's National Provider Identifier (NPI) is 1114718905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Gulley's specialty?
- Samuel Gulley is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Samuel Gulley located?
- Samuel Gulley's practice location on file with NPPES is 650 Joel Dr, Fort Campbell, KY 42223-5318.
- What is Samuel Gulley's phone number?
- The practice phone number listed in the NPPES registry for Samuel Gulley is (270) 956-0336.
- Is Samuel Gulley's NPI active?
- Yes — Samuel Gulley's NPI (1114718905) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.