Individual provider Active NPI

Isabella Grace Reeves, PA-C

  • Physician Assistant
  • Manchester, TN
National Provider Identifier
1033980529
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
482 Interstate Dr
Manchester, TN 37355-3109
Phone
(931) 728-4718
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

482 Interstate Dr
Manchester, TN 37355-3109

Mailing address

482 Interstate Dr
Manchester, TN 37355-3109
Phone (931) 728-4718

Other practice location 1

909 Hillsboro Blvd
Manchester, TN 37355-2025
Phone (931) 723-1705

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724002231 TN Practitioner - Physician Assistant 1759827967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles R Tessier DO PCGroup PAC ID 4284857285, 7 clinicians

Practice addresses (Care Compare)

1340 NW Broad St
Murfreesboro, TN 37129-1755
Phone (615) 439-6165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5855TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Family Medical CurrentSince Jul 22, 2025 Accepting new patients
Coffee Medical Group LLC Past Accepting new patients

Locations

909 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

Organizations & group practices 3

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1033980529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553109",
            "telephone_number": "931-728-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553109",
            "telephone_number": "931-728-4718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373552025",
            "country_code": "US",
            "telephone_number": "931-723-1705",
            "fax_number": "931-723-0861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "ISABELLA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.