GRACE HEALTHCARE GROUP PLLC (NPI# 1245863901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245863901 |
| Entity Type | Organization |
| Organization Name | GRACE HEALTHCARE GROUP PLLC |
| Practice Address |
1721 Main St White Pine TN 37890-3303 |
| Mailing Address |
Po Box 74 White Pine TN 37890-0074 |
| Practice Telephone | 8657610103 |
| Practice Fax Number | 8657610272 |
| Mailing Telephone | 8657610103 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | URSULA M TREADAWAY (PAC/OWNER) |
| Authorized Official Telephone | 8657610103 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1721 MAIN ST |
| City | WHITE PINE |
| State | TN |
| Zip Code | 37890-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141571 | James B Schindler | Family Medicine | 1721 Main St, White Pine, TN 37890-3303 | 2005-06-01 |
| 1659625598 | Schindler Medical LLC | Family Medicine | 1721 Main St, White Pine, TN 37890-3303 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700929486 | Paul Jason Chaney | Dentist | 240 Cody Road, White Pine, TN 37890 | 2007-02-14 |
| 1235239237 | Joseph Clinton Hurley | Dentist | 3231 Roy Messer Hwy, White Pine, TN 37890 | 2006-09-22 |
| 1205880127 | Mark Alvin Jaynes | Optometrist | 3116 Circle Street, White Pine, TN 37890 | 2006-05-22 |
| 1093982621 | Southerrn Home Infusion Pharmacy | Durable Medical Equipment & Medical Supplies | 1721 Main Street, White Pine, TN 37890 | 2008-05-13 |
| 1710161724 | Wesley Taylor Cowan | Pharmacist | 1721 Main St., White Pine, TN 37890-0670 | 2007-12-27 |
| 1588919518 | Kabir David Harricharan Singh | Family Medicine | 1403 State St, White Pine, TN 37890-3175 | 2012-07-16 |
| 1376934422 | Healthstar Physicians, PC | Family Medicine | 1403 State St, White Pine, TN 37890-3175 | 2015-02-11 |
| 1215068143 | Wesley T Cowan | Pharmacy | 1627 Main St, White Pine, TN 37890-3302 | 2007-03-09 |
| 1154433456 | Peak Rehab | Clinic/Center | 3108 Circle Dr, White Pine, TN 37890-3306 | 2006-08-31 |
| 1437707452 | Shannon Wallace | Physical Therapy Assistant | 3108 Circle Dr, White Pine, TN 37890-3306 | 2019-09-03 |
| Find all providers in zip 37890 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WHITE PINE |
| Zip Code | 37890 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.